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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOICE COPY Account ID F AR0005748 <br /> Facility ID FA0005287 <br /> Date Printed 10/23/2014 <br /> JOHNSON, DAVE RE : H & H MARINA <br /> H & H MARINA 15135 W EIGHT MILE RD <br /> 15135 W EIGHT MILE RD STOCKTON, CA 95219 <br /> STOCKTON, CA 95219 <br /> OWNER : DELTA TRANSPORT INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0254800---Date ofInvoice: 7/24/2014 111111111111111111111111 IN <br /> Hrs Employee <br /> 6/19/2014 2832 333-INSPECTION/REINSPECTION(1 hr minimum) 0.00 WONG $ 125.00 <br /> 6/19/2014 2220 333-INSPECTION/REINSPECTION(1 hr minimum) 0.00 WONG $ 125.00 <br /> 10/15/2014 9988 SERVICE CHARGE PENALTY $ 12.50 <br /> 10/15/2014 9988 SERVICE CHARGE PENALTY $ 12.50 <br /> PAST DUE! <br /> Total forthis Invoice $ 275.00 <br /> WE WOULD APPRECIATE YOUR PAST DUE <br /> PAYMENT TODAY! <br /> Invoice# IN0256839--Date of Invoice: 1 012 312 014 IIIIIIIIII IIIIIIVIIIIIIIIIVIII VIIIIIIIIIIIIIIIIIIIIVIIIIIIIIII <br /> Hrs Employee <br /> 9/8/2014 2832 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 VELOSO $ 65.00 <br /> 9/8/2014 2220 306-FOLLOW UP FOR NON-COMPLIANCE 1.00 VELOSO $ 130.00 <br /> Total for this Invoice $ 195.00 <br /> Payment Due Date 11122/2014 <br /> TOTAL DUE this Billing Period $ 470.00 <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 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 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />