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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM� Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> INVOICE Account ID AR003 9977 <br /> LMENNOMMMMMMENS <br /> Facility ID FA0021089 <br /> Date Printed 4/5/2012 <br /> SAGIREDDY, P BABU RE : FORMER BANK; NOT CURRENTLY <br /> 1801 E MARCH LN, STE B265 OCCUPIED <br /> STOCKTON, CA 95210 520 N EL DORADO ST <br /> STOCKTON, CA 95202 <br /> OWNER : WARNER, EUGENE <br /> Date Health <br /> Program Description Amount <br /> Invoice# 1N0220569--Date of Invoice: 11/1612011 IIIIIIIIIIII II VIIVIIVIIIVII VIIIVIIIVIIIVIII IIIIIIIIIIIII 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 /> �O Total for this Invoice $ 375.00 <br /> Payment Due Date 4/2 2 <br /> TOTAL DUE this Billing Period $ <br /> PAYMENT <br /> RECEIVE® <br /> APR 2 6 2012 <br /> SAN NOIROU9EN O LNTY <br /> HEALTHUEYAATMENT <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/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 />