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OMENTAL HEALTH DEPARTMENT Page 1 <br /> 6HAZELTON AVENUE <br /> J POCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> <br /> NVOICE <br /> Facility ID FA0020870 <br /> Date Printed 6/4/2019 <br /> EL DORADO ST PARTNERS,LP C/O CBRE RE : EL DORADO ST PARTNERS,LP C/O CBRE <br /> 400 E MAIN ST STE 740 6 S EL DORADO ST <br /> STOCKTON, CA 95202 STOCKTON,CA 95202 <br /> OWNER : EL DORADO STREET PARTNERS, LP C/O CE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0319663—Date of Invoice: 2/27/2019 I lllllll llllll III VIII VIII VIII VIII VIII VIII VIII VIII 111111111111111 IN <br /> Hrs Employee <br /> 1/15/2019 1920 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 LOPEZ $ 76.00 <br /> 1/16/2019 1920 306-FOLLOW UP FOR NON-COMPLIANCE 0.10 LOPEZ $ 15.20 <br /> 1/17/2019 1920 502-SPWS-CITATION(FIELD ACTIVITY) 1.00 LOPEZ $ 152.00 <br /> 5/15/2019 9988 SERVICE CHARGE PENALTY $ 1.52 <br /> 5/15/2019 9988 SERVICE CHARGE PENALTY $ 7.60 <br /> 5/15/2019 9997 CORRECTION TO A CHARGE ($ 152.00) <br /> Total for this Invoice $ 100.32 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 100.32 <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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />