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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMF"T <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0016046 <br /> LEEMMMMMMMOMM <br /> Facility ID FA0009046 <br /> LMMMMMMMMME <br /> Date Printed 5/26/2011 <br /> CALIFORNIA RADIATOR WORKS RE : CALIFORNIA RADIATOR WORKS <br /> PO BOX 159 328 S CALIFORNIA ST <br /> MOUNTAIN RANCH, CA 95246-0159 STOCKTON, CA 95203-3520 <br /> OWNER : FRANK BROCKMAN <br /> Date Health <br /> Program Description -_� Amount <br /> Invoice# IN0217158--Date of Invoice: 5/2 512 01 1 IIIIIIIIIIIIIIIVIII VIIVIIIIIIIIIIIIVIIIVIIIVIIIIIIIIIIIIIIIIII IIIIIIII <br /> Hrs Employee <br /> 4/13/2011 2220 061 -CONSULTATION 0.30 RIVERA $ 36.60 <br /> Total forthis Invoice $ 36.60 <br /> Payment Due Date 6/25/2011 <br /> TOTAL DUE this Billing Period $ -36.60 <br /> 1 EN <br /> RECET <br /> fV�p <br /> JUN - 9 2011 <br /> 4 <br /> NE <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 DES/HMMP 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 /> 5154 qn <br />