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SIN JOAQUIN COUNTY ENVIRONJ&TAL HEALTH DEPARTMENT Page 1 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID FAR0016781 <br /> Facility ID F FA0009781 <br /> Date Printed F 4/29/2002 <br /> HOUSE 2 HOME RE : HOUSE 2 HOME#1620 <br /> HOUSE 2 HOME#1620 1880 E HAMMER LN <br /> 3345 MICHELSON DR STOCKTON CA 95210 20 <br /> IRVINE CA 92715 <br /> OWNER: HOUSE 2 HOME <br /> Health <br /> Date Program Desorption Hrs Employee Amount <br /> Invoice# IN0091382—Date of Invoice: 1/22/2002 <br /> 4/15/2002 9994 PERMIT FEE PENALTY $200.00 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONSNR $200.00 <br /> Total for this Invoice $417.50 <br /> Payment Due Date 317/2002 <br /> TOTAL DUE this Billing Period $417.50 <br /> Please make Checks PAYABLE to: EHD / Retum a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10 <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> 5255.rpt <br />