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JAN JUAUUIN UUUN I Y <br /> ENVIRONMENTAL HEALTH DEPARTMW Page 1 <br /> 600 E MAIN STREET <br /> STOCKPhone: ON,209 46 95202 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0005748 <br /> Facility ID F FA0005287 <br /> inialimmmmilami <br /> Date Printed /25/2010 <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# IN0207575---Date of Invoice : 10/25/2010 � � 11111111111111111111111111111111111111111111 IN <br /> Hrs Employee <br /> 9/17/2010 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 CACAPIT $ 61.00 <br /> To[al for this Invoice $ 61.00 <br /> Payment Due Date 11/24/2010 <br /> TOTAL DUE this Billing Period $ 61.00 <br /> PAYME I <br /> RECEIVED <br /> NOV 1 5 2010 <br /> SAN JOAQUIN COUNTY <br /> t 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 DES I 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 /> 5254.rpt <br />