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SAN JOAQUIN COUNTY <br />FNVIROINMENTAL HEALTH DEPARTMEV <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 />Page 1 <br />Account ID <br />AR0034518 <br />Fadlity ID <br />FA0019411 <br />Date Printed <br />F 7/28/2009 <br />RE: LODI MOTOR SPORTS <br />847 N CLUFF AVE STE C <br />LODI, CA 95240 <br />OWNER: HARRELL, DAVID V <br />Date Health <br />Program Description Amount <br />Invoice # IN0192413 -- Date of Invoice : 7/27/2009 <br />6/22/2009 2220 306 - FOLLOW UP FOR NON-COMPLIANCE <br />111111 <br />Hrs Employee <br />0.50 CACAPIT $ 52.50 <br />Total forthis Invoice $ 52.50 <br />Payment Due Date 8/27 09 <br />TOTAL DUE this Billing Period <br />PAYMENT <br />RECEIVED <br />AUG 2 8 2006 <br />SAN JOAOUIN COUNTY <br />ENVIRCNi <br />HEALTH DEPARTnr-"T <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 thereafte <br />254 rpt <br />