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5AN,V0AQUIN COUNTY <br /> OENVIRONMENTAL HEALTH DEPAF­ FENT Page 1 <br /> 004 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0025804 <br /> s <br /> Facility ID �A0015067 <br /> _. ... Date Printed 2/17/2004J <br /> TOGNINALI,ALDO & ROSALIE RE : TOGNINALI,ALDO& ROSALIE <br /> 14500 E HWY 4 15420 E HWY 4 <br /> f <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> 4 <br /> OWNER : TOGNINALI, ALDO & ROSALIE <br />{ i <br /> r Date Health <br /> Program Description i Amount <br /> I <br /> Invoice# IN0117776—Date of Invoice: 211712004 <br /> Hrs Employee <br /> 2/6/2004 3030 315-REPORT REVIEW 0.40 INFURNA $ 37.20 <br /> 2/17/2004 3030 315-REPORT REVIEW 11-90 INFURNA $ 176.70 <br /> Total for this Invoice $ 213.90 <br /> Payment Due Date 311812004 <br /> TOTAL DUE this Billing Period $ 213.90 <br /> 5 <br /> 3 <br /> i <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 OES!HM MP 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 /> 5255.rpt <br /> t <br />