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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMr • Page <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 1 <br /> INVOICE Accent ID AR0020211 <br /> LMMMUMMMMOOM <br /> Facility ID FA0012-4 0 <br /> LMUMOMMMMMMMI <br /> Date Printed 11/9/2010 <br /> ROLLING FRITO LAY SALES RE : ROLLING FRITO LAY <br /> 4029 LECKRON RD 1190 SPRECKELS RD <br /> MODESTO, CA 95357 MANTECA, CA 95336 <br /> OWNER : FRITO LAY INC <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0207208---Date of Invoice: 9/23/2010 IIIIIIIIIII III VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> Hrs Employee <br /> 8/17/2010 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 NAIDU $ 61.00 <br /> Total for this Invoice $ 61.00 <br /> Payment Due Date 10/24/2010 <br /> TOTAL DUE this Billing Period ` 61.0 <br /> l �v <br /> PAYMENT <br /> RECEIVED <br /> NOV 0 9 2010 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> v <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 />