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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 Account ID AR0024510 <br /> Facility ID FA0014430 <br /> LUMENSOMMINEWUNIM <br /> Date Printed 1/29/2015 <br /> SODEXO LAUNDRY STOCKTON RE : SODEXO LAUNDRY STOCKTON <br /> <br /> STOCKTON, CA 95206 <br /> OWNER : SODEXO INC <br /> Date Health Arriuuni <br /> Program Desc+iphon <br /> Invoice# IN0261866---Date ofInvoice: 1/29/2015 IIIIIIIIIIIIIVIIIIIIIIIIIIIIIIIVIIVIIIVIIVIIIIIIIIIIIIIIIIIIIIIIIIII <br /> 1/29/2015 1921 HMBP-Regular-Primary Location $ 375.00 <br /> 1/29/2015 2220 SM HW GEN<5 TONSNR $ 213.00 <br /> 1/29/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 623.00 <br /> Payment Due Date 2/28/2015 <br /> I (� TOTAL DUE this Billing Period $ 623.00 <br /> �jtx(e '0 SAd -H,e t acpptt 1 <br /> tyv. �lt �-���. Aravnai-K WI<< re-ope,,,, <br /> A�a>n^prK �. <br /> M ri zqs. <br /> +jAe �R�����) �©I� �r a6Dr <br /> F°�- 4#- ,fr OUeSf�S I G�wt 5e ��o tllCt( dL� <br /> II.. qlG- 8Z5� 5311 <br /> D <br /> r,^r <br /> FE813 2015 Y <br /> ENVIII�NMES RVI ESH � tl` <br /> PERM <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 /> 52i4 T1 <br />