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3AN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME10 Page 1 <br /> 1868 E HAZELTON AVENUE <br /> 3TOCKTON, CA 95205 <br /> phone: (209) 4683420 <br /> INVOICE COPY AccountlD AR0020272 <br /> Facility ID FA0012415 <br /> Date Printed 1/29/2015 <br /> OAKLAND PALLET CO., INC. RE : OAKLAND PA CO.; INC. <br /> OAKLAND PALLET CO.; INC. 857TRA STO IDGE DR <br /> <br /> Coek�tf C)) <br /> OWNER : JAVIER PADILLA <br /> Date Health 1 <br /> Program Description <br /> Amount <br /> Invoice# IN0261662—Date of Invoice: 1/2912015 IIIIIIIIVIIIIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIIIII111111VIIIIIIIIN <br /> 1/29/2015 1921 HMBP-Regular-Pdmary Location $ 300.00 <br /> 1/29/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 335.00 <br /> Payment Due Date 2128/2015 <br /> TOTAL DUE this Billing Period $ 335.00 <br /> 5d — 27e— l,2-C1 <br /> ��cld <br /> 1Gt 4� KS • FEB 13 M5 <br /> E pEiji <br /> EJAMITISERVICES N <br /> RECEIVED FEB 09 2015 <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 />