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SAN JOAQUIN COUNTY <br /> EWVIRONMENTAL HEALTH DEPARTMENT page 1 <br /> X304 E WEBER AVE -3RD FLOOR sow" <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account Io AR0026155 <br /> Facility ID FA0015224 <br /> Date Printed 711$/2005 <br /> TREVOR, CATHERINE RE : TREVOR PROPERTY-UICISEPTIC <br /> TREVOR PROPERTY - UICISEPTIC 519 N PATTON AVE <br /> 525 CLOUDVIEW DR STOCKTON, CA 95215-1724 <br /> WATSONVILLE, CA 95076 <br /> OWNER : TREVOR, CATHERINE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0136375---Date of Invoice: 7/1812005 11111111111111 11111111111111111111 HE 1111111111111111111111111111 <br /> Hrs Employee <br /> 7!712005 3030 312-CONSULTATION 0.40 INFURNA $ 37.20 <br /> 7/13/2005 3030 312-CONSULTATION 0.90 INFURNA $ 83.70 <br /> 7/18/2005 3030 315-REPORT REVIEW 1.00 INFURNA $ 93.00 <br /> r Total for this lnvoice $ 213.90 <br /> Payment Due Date 8/1712006 <br /> TOTAL DUE this Billing Period $ 213.90 <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 /> 5255.rpt <br />