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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTN* <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209).468-3420 <br />INVOICE <br /> <br /> <br /> <br />Health <br />Uate <br />Description <br />!nvc!ce # ING103527 — D3te of invoice: 2/27!2003 <br />2/27/2003 2220 SM HW GEN <5 TONSNR <br />2/27/2003 2244 2003 HMMP Annual Fee <br />2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />PAYMENT <br />RECEIVED <br />MAR 10 2003 <br />NTY <br />PUBLIC HEALTH SERVICES <br />AN JOAQUIN <br />ENVIRONMENTAL HEALTH NVIS' IDN <br />E <br />Page 1 <br />Account ID AR0002341 <br />Facility ID F FA0002327 <br />Date Printed 2/27/2003 <br />RE: STOCKTON GOLF & COUNTRY CLUB <br />3800 COUNTRY CLUB BLVD <br />STOCKTON, CA 95204 <br />OWNER: STOCKTON GOLF & COUNTRY CLUB <br />Amount <br />$ 200.00 <br />$ 345.00 <br />$ 17.50 <br />Total for this Invoice $ 562.50 <br />Payment Due Date 3/29 <br />C TOTAL DUE this Billing Period $ 562.50 <br />L <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 <br />at the Rate of 100% of the Base Fee <br />30 Days after the Due Date <br />5255.rpt <br />For all SERVICE FEES <br />Penalties will be added at the Rate of 10 <br />60 Days after the Invoice Date and each 30 Days thereafter <br />