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Y l <br /> ENVIRONMENTAL HEALTH DEPARTMEe Page i <br /> 304 E WEBER AVE -3RD FLOOR „ <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> R <br /> INVOICE <br /> Account ID AR0025804 <br /> Facility ID FA0015067 <br /> Date Printed 2117/20b4 <br /> TOGNINALI,ALDO& ROSALIE RE :14500 E HWY 4 TOGNINALI,ALDO& ROSALIE <br /> l <br /> 115420 E HWY 4 <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER :' TOGNINALI,ALDO & ROSALIE <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0117776--Date of Invoice: 2/17/2004 <br /> Hrs k Employee <br /> 2/6/2004 3030 315-REPORT REVIEW 0.40 INFURNA $ 37.20 <br /> 2/17/2004 3030 315-REPORT REVIEW 1.90 INFURNA $ 176.70 <br /> Total for this Invoice $ 213.90 <br /> f <br /> Payment Due Date 3116/2004 <br /> TOTAL DUE this Billing Period $ 213.90 <br /> I <br /> E <br /> ,I <br /> .k <br /> J <br /> s <br /> p€ <br /> 3 � <br /> FILE COPY <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 1 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 60IDays after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br /> `s <br /> I <br />