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CIANJUAUUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE Page 1 <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0036171 <br /> Facility ID FA0020256 <br /> Date Printed 11/22/2016 <br /> BONNIE NATIVIDAD RE : DELTA PATHOLOGY <br /> DELTA PATHOLOGY 3133 W MARCH LN STE 1040 <br /> PO BOX 77800 STOCKTON, CA 95219 <br /> STOCKTON, CA 95267-1100 <br /> OWNER : DELTA PATHOLOGY <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0285337--Date of Invoice: 11/21/2016 IIIIIIIIIIIIII VIIIVIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIII IIII <br /> 11/21/2016 4530 LG QUANITY GENERATOR <br /> $ 193.00 <br /> Tote i forthislnvoice -j-193 00 <br /> Payment Due Date 12/22/2016 <br /> TOTAL DUE this Billing Period $ 193.00 <br /> C t llJ\ �c �1 L Y1'ill <br /> CYCL - <br /> CL IA <br /> b� <br /> Urn <br /> ' CSS <br /> Jill x/u& <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 />