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SAN JOAQUIN COUNTY Pae 1 <br /> ENVIRONMENTAL HEALTH DEPARTN*T <br /> NA , g <br /> 1868 E ZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0040427 <br /> Facility ID FA0022180 <br /> LMMMMMOOMMONNA <br /> Date Printed 5/22/2014 <br /> lumommummommmwmm <br /> VALENTINE,TIMOTHY RE : VALENTINE CONSTRUCTION <br /> VALENTINE CONSTRUCTION 221 OAK ST <br /> 226 OAK ST MANTECA, CA 95337 <br /> MANTECA, CA 95337 <br /> OWNER : VALENTINE,TIMOTHY <br /> Date Health <br /> Program Description Amount I <br /> Invoice# IN0246562---Date of Invoice: 1/21/2014 11111111111111111111INIIIIII IIIIIININ <br /> Hrs Employee <br /> 1/15/2014 2950 315-REPORT REVIEW 1.00 YOAKUM $ 125.00 <br /> 1/21/2014 9999 PAYMENT ($ 375.00) <br /> 1/31/2014 2950 315-REPORT REVIEW 1.00 YOAKUM $ 125.00 <br /> 4/3/2014 2950 315-REPORT REVIEW 2.00 HENDERSON $ 250.00 <br /> 4/10/2014 2950 315-REPORT REVIEW 1.50 HENDERSON $ 187.50 <br /> Total for this Invoice I $ 312.50 <br /> Payment Due Date 6/2112014 <br /> TOTAL DUE this Billing Period $ 312.50 <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 HMBP 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 /> 5254rpt <br />