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SAN JQAQI;IN,COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />INVOICE <br />PG&E - CUPA PERMITS (REF: SUTTER HOME <br />SS) <br />PO BOX 7640 <br />SAN FRANCISCO, CA 94120 <br />Page 1 <br />Account ID F AR0042062 <br />Facility ID FA0022937 <br />Date Printed F 5/20/2015 <br />RE: PG&E - SUTTER HOME SWITCHING <br />STATION <br />18667 N BRACK RD <br />LODI, CA 95242 <br />OWNER: PACIFIC GAS AND ELECTRIC COMPANY <br />Date Health <br />Program Description Amount <br />Invoice # IN0266186 --- Date of Invoice : 5/20/2015 <br />5/20/2015 1921 HMBP-Regular-Primary Location <br />5/20/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br />$ 285.00 <br />$ 35.00 <br />Total for this Invoice $ 320.00 <br />Payment Due Date 6/19/2015 <br />TOTAL DUE this Billing Period $ 320.00 <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 />