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Feb-01-05 03: 36P Micke Grove GC 209 369 8635 P.01 <br /> ,AN JUAWUIN UUUN I Y <br /> ENVIRONMENTAL HEALTH DEP F ZNT Page 1 <br /> 304 E WEBER AVE.-3RD FLOO <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> f INVOICE Account ID AR0017135 <br /> I <br /> I <br /> Facility ID FA0010135 <br /> i <br /> Date Printed r 1/24/2005 <br /> i <br /> MICKE GROVE#LF LINKS RE : MICKE GROVE GOLF LINKS <br /> <br /> LODI, CA 95242 <br /> OWNER : AMERICAN GOLF CORP <br /> Date Health <br /> Program Descripti in <br /> r <br /> Amount <br /> Invoice# IN0128210—Date of invoice:11/2412005 <br /> Illlgllilllll llllllll IIIII IIIII IIIII IIIII IIIII Illllllllllllll llllilllllllll llllllll <br /> 1/24/2005 2220 SM HW EN<5 TONS/YR $ 200.00 <br /> 1!2412005 2244 2005 H MAT FEE $ 345.00 <br /> 1/24/2005 2399 UNIFIED ROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> i <br /> Total forthis Invoice F� 2j/2312005 <br /> Payment Due Date <br /> i TOTAL DUE this Billing Period $ 569.00 <br /> I <br /> I <br /> I <br /> I <br /> I <br /> i <br /> I <br /> I <br /> I <br /> PAYMENT <br /> RECEIVED <br /> I , <br /> MAR - 7 2005 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> l <br /> i <br /> Please make Checks P�IYABLE to: 'EHD' - Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fee 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 Involce Date and each 30 Days thereafter <br /> 5255.rpt ` <br /> I <br />