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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART# <br /> 1$68 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> P0one: (209)468-3420 <br /> INVOICE Account ID AR0020342 <br /> Facility ID FA0012478 <br /> Date Printed 3/27/2014 <br /> Lummoommonnoommom <br /> LS EXPEDITERS RE : LS EXPEDITERS <br /> PO BOX 31985 1205 MOFFAT BLVD <br /> STOCKTON, CA 95213-1985 MANTECA, CA 95336 <br /> OWNER : SMITH, LLOYD <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0248731 ---Date ofInvoice: 1/30/2014 1111111111 ME 11111111111111111111111111111111111111111111111 IN <br /> 1/30/2014 1921 HMBP-Regular-Primary Location $ 375.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice I $ 410.00 <br /> Payment Due Date 31112014 <br /> PASTDUE' TOTAL DUE this Billing Period $ 410.00 <br /> Wk VV01JUD APPRECIATE YOUR <br /> PAYMENT TODAY! <br /> V11(7J <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For HMBP 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 Rate 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 />