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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT " Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> <br /> OICE 'A� _ <br /> Facility ID FA0009818 <br /> Date Printed 9/27/2019 <br /> MURRAY TRAILERS / Q��� RE : MURRAY TRAILERS <br /> SUE SMITH 1754 E MARIPOSA RD <br /> 1754 E. MARIPOSA RD. 0�' STOCKTON, CA 95205 <br /> STOCKTON, CA 95205-7790 116" Owoee�: <br /> OWNER : DOUGLAS MURRAY <br /> otl4ar4 MR�, I nl G <br /> Date Health <br /> Program Description <br /> Ac( j> Amount <br /> Invoice# IN0327237---Date of Invoice: 9/2612019 I IIIIII IIIIII III VIII VIII VIII VIII VIII VIII ILII VIII VIII IIII IIIIII VIII II III <br /> 9/26/2019 1921 HMBP-Regular-Primary Location <br /> $ 483.00 <br /> 9/26/2019 1922 CERS Processing Fee $ 30.00 <br /> 9/26/2019 2220 SM HW GEN<5 TONSNR $ 249.00 <br /> 9/26/2019 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> 9/26/2019 APSA APSA SURCHARGE $ 26.00 <br /> Total for this Invoice $ 837.00 <br /> Payment Due Date 10 9 <br /> TOTAL DUE this Billing Period $ 837.00 <br /> 53z� <br /> PAYMENT RECEIVED <br /> OCT 2 4 2019 <br /> SAN JOA01JI1`4 COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT' <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 /> X254 rpt <br />