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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMF_"T <br />600 E MAIN STREET <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />HARRELL, DAVID V <br />LODI MOTOR SPORTS <br />847 N CLUFF AVEA STE C <br />LODI, CA 95240 <br />Date Health <br />Procram Description <br />Page 1 <br />COPY <br />Account ID AR0034518 <br />Facility ID FA0019411 <br />Date Printed F 8/25/2009 <br />RE: LODI MOTOR SPORTS <br />847 N CLUFF AVE STE C <br />LODI, CA 95240 <br />OWNER: HARRELL, DAVID V <br />Invoice # INW92413 -- to of Invoice : 71 9 <br />Hrs <br />6/22/2009 2220 30 LLOW UP FOR NON-COMPLIANCE 0.50 <br />E1E <br />Invoice # IN0192892 — Date of Invoice : 8/24/2009 <br />7/1/2009 2220 306 - FOLLOW UP FOR NON-COMPLIANCE <br />Amount <br />111111111111 <br />I III I IIII Till VI II VIII VIII IIII III IIII <br />ryee <br />,PI <br />T r s Involcel 52.50 <br />ent Due Date 8/27/2009 <br />11111111 111111 III VIII VIII VIII VIII VIII VIII IIII VIII IIII nllll VIII nll IIII <br />Hrs Employee <br />0.30 CACAPIT $ <br />Total for this Invoice $ f315009)Payment Due Date <br />TOTAL DUE this Billing Period <br />PAYMENT <br />RECEIVED <br />SEP 17 2009 <br />SAN JOAOUIN COUNTY <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <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 OES / 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 />i254.rpt <br />