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SAN JOAQUIN COUNTY y Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM., 0 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0020342 <br /> Facility l0 FA0012478 <br /> Date Printed 2/24/2014 <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 of Invoice: 1/30/2014 IIIIIIIIIIVIII111IlVI VIII II l VIIIVI IIII1111111111111111111 <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 $ 410.00 <br /> Payment Due Date 311/2014 <br /> TOTAL DUE this Billing Period $ 410.00 <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 />