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sAN,tFeb, 20: 2013q..4: 16PM- San Joaquin Cou;ty • No, 2357 P. 1 <br /> Pagel <br /> ENVIRONMENTAL HEALTH DEPAR*T <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone, (209)468-3420 <br /> INVOICE Aunt[D AR0017836 <br /> Facility ID FA0010836 <br /> Dale Printed 2/20/2013 <br /> TAX DEPT u RE : MV TRANSPORTATION#9 <br /> MV TRANSPORTATION#9 1250 S WILSON WAY <br /> x_48-20-wAmERicA-DR j/O(V.*;t aJv �I S STOCKTON, CA 95205 <br /> t —3R I—7�y OWNER . ALEX LODDE <br /> Dale Health Amount <br /> Program Description <br /> Invoice# IN0236445...Date of Invoice: ?1112013 IIIIIIIIIIIIIIIIIIlI111111IINIIIIIIIIIIIIIIII[1111Illllllllllllllllnl1111I IN IN <br /> 211/2013 19211 HMBP-Regular-Primary Location $ 360.00 <br /> 2/1/2013 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 2/112013 2399 UNIFIER PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for Ihlg Involce $ 608.00 <br /> Payment Due Date 3/3/2013 <br /> TOTAL DUE this Billing Period $- 608.00 <br /> PAY= <br /> RECEIVED <br /> FEB 2 8 2013 <br /> SAN <br /> VI I <br /> RONMENTAL <br /> HEALTH DEPARTMENT <br /> Post-It®Fax Noto 7671 Date 2- 2011pages► <br /> To <br /> _j;tx)er IjA L, From ivLgT <br /> CoJDept. M .7Z�%b Go. r�� e' Lb pay <br /> Phoned ti <br /> 9 72--391—4-L <br /> Phone <br /> 6 Phone ZnS, O�� <br /> Pax# 391, 4'7'_{P Fax 11 <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 b0 added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Data 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />