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— �s= <br /> ` . <br /> SAN JOPQU|NCOUNTY Page <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 18GDEHAZELTONAVENUE <br /> STOCKTON, CA 96205 <br /> Phone: (209) 468-3420 <br /> INVOICE <br /> Facility ID <br /> Date Printed <br /> T|K| L4GUN PARTNERS LLC RE : T|K| LAGUN RESORT & MARINA <br /> T|K| LAGUN RESORT & K8AR|N/\ 12S88VV K8CDONALD RD <br /> 3G20VVHAMMER LN SUITE D 8TOCKTON, CA 95206 <br /> STOCKTON. CA 95218 <br /> OWNER : T|K| LAGUN PARTNERS LLC <br /> Date Hea;th Amount <br /> Program Description <br /> |nvmx*# /woe*mno---Date mInvoice: 1o0/201* U|NT 111111\UN111U11NN|hU|1111111111U1111111N|111UU11NNUNUUNUNUNN <br /> 1/301201* 1e21 HMoP-Regularpmnmry Location $ 315.00 <br /> 1/30s014 czzo SM HvvGEN`nTomSIYR $ 213.00 <br /> 1o0/201* znse UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> 1/30/201* zooz AnTFAo 10 K-</=1onxGAL CUMULATIVE $ srson <br /> ` Total for t $ 1.233.00 <br /> Payment Due Date 3no011* <br /> TOTAL DUE this Billing Period $ 1,238.00 <br /> ` <br /> Please make Checks PAYABLE to: 'EH[' — Return aCopy ofThis 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.n* <br />