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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART t Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0025164 <br /> Facility ID FA0014779 <br /> Date Printed 7/28/2003 <br /> Immmmummufflunumd <br /> STANLEY R PLOOF RE : MOUNTAIN HOUSE NEIGHBORHOOD E <br /> MOUNTAIN HOUSE NEIGH1301iHOOD E <br /> 3120 TRACY BLVD TRACY, CA 95376 <br /> TRACY, CA 95376 <br /> OWNER : TRIMARK COMMUNITIES <br /> Date Health <br /> t Pronram Description Amount <br /> Invoice## IN0109533---Date of Invoice: 6/27/2003 <br /> Hrs Employee <br /> 6/23/2003 2950 315-REPORT REVIEW 1.30 INFURNA $ 115.70 <br /> 6/24/2003 2950 315-REPORT REVIEW 0.30 INFURNA S 26.70 <br /> 6/25/2003 2950 315-REPORT REVIEW 0.30 INFURNA $ 26.70 <br /> 6/27/2003 9999 PAYMENT ($ 267.00) <br /> 6/27/2003 2950 310-FIELD CONSULT 2.60 INFURNA $ 231.40 <br /> Total for this Invoice $ 133.50 <br /> Payment Due Date 8/27/2003 <br /> TOTAL DUE this Billing Period $ 133.50 <br /> PAYMENT <br /> RECEIVED <br /> SEP 3 20P <br /> SAN JOAOUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <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/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 /> 1755.rpt <br />