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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE <br /> Amount ID LUMOMMMMUMMMA <br /> AR0017789 <br /> Facility ID FA00 0-799 <br /> Dale Printed 12/13/2017 <br /> IMMENNEEMMMENOM <br /> DOVE, RODNEY RE : CHARTER WAY TOW(AURORA) <br /> CHARTER WAY TOW(AURORA) 1234 S AURORA ST <br /> PO BOX 558 STOCKTON, CA 95206 <br /> LOCKEFORD, CA 95237-0558 <br /> OWNER : DOVE, RODNEY <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0298411 ---Date of Invoice: 912612017 IIIIIIIIIIII III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII VIII IIII IIII <br /> 9/26/2017 1920 HMBP-Common Materials $ 98.00 <br /> 9/26/2017 1922 CERS Processing Fee $ 25.00 <br /> 9/26/2017 2220 SM HW GEN<5 TONSNR $ 249.00 <br /> 9/26/2017 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> Total for this Invoice $ 421.00 <br /> Payment Due Date 10/29/2017 <br /> TOTAL DUE this Billing Perl0di $ 421.00 <br /> Please make Checks PAYABLE to: 'EHD' – Return a Copy of This STATEMENT with Your PAYMENT <br /> fenalties 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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />