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SAN JOAQUIN COUNTY • 0 Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET <br /> STOGKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID IF—AR00379 77 <br /> Facility ID I FA0021089 <br /> Date Printed 3/28/2012 <br /> SAGIREDDY, P BABU RE : FORMER BANK; NOT CURRENTLY <br /> 801 E MARCH LN OCCUPIED <br /> STOCKTON,CA 95210 520 N EL DORADO ST <br /> STOCKTON, CA 95202 <br /> OWNER : WARNER, EUGENE <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0220569—Date of Invoice: 1111612011 I VIII VIII III VIII IIIA(IIII VIII VIII VIII VIII VIII VIII IIII VIII VIII IIII IIII <br /> Hrs Employee <br /> 11/16/2011 9999 PAYMENT ($ 375.00) <br /> 2/14/2012 2950 315-REPORT REVIEW 2.00 HENDERSON $ 250.00 <br /> 2/15/2012 2950 315-REPORT REVIEW 1.00 HENDERSON $ 125.00 <br /> 2/16/2012 2950 315-REPORT REVIEW 1.00 HENDERSON $ 125.00 <br /> 2/17/2012 2950 315-REPORT REVIEW 2.00 HENDERSON $ 250.00 <br /> Total for this Invoice $ 375.00 <br /> Payment Due Date 4127/2012 <br /> TOTAL DUE this Billing Period $ 375.00 <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 />