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ENVIRONMENTAL HEALTH DEPARTM' 'T <br /> 304 E WEBER AVE -3RD FLOOR Page 1 <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0028366� <br /> Facility lD FA00913228 <br /> Date Pnnted ��/812005 <br /> ENSHER ALEXANDER AND BARSOOM RE : BARSOOM PROPERTY UIC <br /> BARSOOM PROPERTY UIC 14200 BACON ISLAND RD <br /> 926 J ST STE 503 STOCKTON, CA 95206 <br /> SACRAMENTO, CA 95814 <br /> OWNER : ENSHER ALEXANDER AND BARSOOM <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice 9 1N0134419_-Date of Invoice: 6/1/2005 1111111111 lip 111111111111119111111111111111110 11111111 <br /> Hrs Employee <br /> 5/25/2005 3030 315-REPORT REVIEW 2.50 INFURNA $ 232.50 <br /> 6/1/2005 9999 PAYMENT ($ 279.00) <br /> 8!212005 3030 312-CONSULTATION 0.80 INFURNA $ 74 40 <br /> 8/4/2005 3030 312-CONSULTATION 0.80 INFURNA $ 74.40 <br /> 8/24/2005 3030 312-CONSULTATION 0.40 INFURNA $ 37.20 <br /> 10/31/2005 3030 315-REPORT REVIEW 0.80 INFURNA $ 74.40 <br /> 11/1/2005 3030 310-FIELD CONSULT 1.10 INFURNA $ 102.30 <br /> Total for this Invoice $ 316.20 <br /> big Payment Due Date 12/8/2005 <br /> TOTAL DUE this Billing Period316.20 <br /> (�7771 <br /> :r.. <br /> i i rf <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 OES!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 after <br /> 5755.rpt <br /> t_ <br />