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SAN JOAQUIN COUNTY • 0 Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> INVOICE Account ID AR0017135 <br /> Facility ID FA0010135 <br /> Date Printed F 12/24/2012 <br /> MICKE GROVE GOLF COURSE RE : MICKE GROVE GOLF COURSE <br /> <br /> LODI, CA 95240-9426 <br /> OWNER ; FORE GOLF MANAGEMENT <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0230800••.Date of Invoice: 8/20/2012 III II I IIII I II I IIIIIII VII V V VIII II III II I 111111111 1111 <br /> 8/20/2012 2244 2012 HAZMAT FEE $ 285.00 <br /> 10/15/2012 9987 Haz Mat Program Penalty Fee $ 28.50 <br /> Total torthia invoice $ 313.50 <br /> PAST DUE <br /> TOTAL DUE thia Billing Period $ 313.50 <br /> A �[ <br /> f� Q- <br /> WE 1"JOULLI �c'cf7C.t r, tom! •r <br /> T0'-)A'(, <br /> PAST DUE <br /> Delinquent charges <br /> will be forwarded to <br /> COLLECTIONS <br /> *,. in 30 days. <br /> Please make Checks PAYABLE to: 'EHO' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES I HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rale of 10 <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />