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Jt1.�J VLiV ll11\ <.V ll l•11 rdyC 1 <br /> EN,VIRONMENTAL HEALTH DEPAI" 4ENT <br /> 304'1`,WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE <br /> ` Account I A ') 4633 <br /> _ - — - Date Print 27/2003 <br /> Case M C00018598 <br /> RANCHHOD,JAY 18007 S MANTHEY RD,LATHRDP <br /> 4225 E HAMMER LN <br /> STOCKTON CA 95212 <br /> Health <br /> Foate.�T,--Program,-=Description- -- --_ � '-... . -Hrs Employee"-. Anrount <br /> Invoice# IN0105949—Date of Invoice: 3/26/2003 <br /> 2/6/2003 2546 444 Emergency Response Activity 1.0 JACKSON $89.00 <br /> 2/7/2003 2546 444 Emergency Response Activity 1.0 JACKSON $89.00 <br /> f Total for thislnvoice $178.00 <br /> - Payment Due Date 4/2612003 <br /> TOTAL DUE this Billing Period <br /> $178.00 <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 all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> r�4 PAYMENT <br /> 1 ( RECEIVED ` <br /> r ' M*-e AC40 i+ JUN 1 7 2003 - :1\3 <br /> A-PPuiZ3 2-F CZ L7.sbj SAN JPJJSL�tOAQUI N CCO�W MPY [ , <br /> SM,VEES <br /> Q�. 5-D-/o �-r 5717 7 — n/ ItPS6l <br /> QG 3 0 3 -5 <br /> �l <br /> Z�7 <br /> 5257.rpt <br />