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SAN JOAQUIN. COUNTY • • Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0017461 <br /> LUMOMMMMOMMMA <br /> Facility ID FA0010461 <br /> Date Printed 1/30/2014 <br /> CALIFORNIA DEPT OF BOATING &W RE : CALIF DEPT OF BOATING &WATERWAYS <br /> 2000 EVERGREEN SUITE#100 8095 RIO BLANCO RD <br /> SACRAMENTO, CA 95815-3896 STOCKTON, CA 95219 <br /> OWNER: CALIF DEPT OF BOATING &WATERW <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0248447---Date of invoice: 1/30/2014 IIIIIII IIIIIV IVI VIII VIIIIIIIII I IIIIIII II I IIII Iii/ 111 111 lllll <br /> 1130/2014 1921 HMBP-Regular-Primary Location $ 315.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 350.00 <br /> Payment Due Date 3/112014 <br /> TOTAL DUE this Billing Period $ 350.00 <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 /> 01/ <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 ,t <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 />