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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE -3RD FLOOR ; <br /> STOCKTON, CA 95202 ► ^ -� COPY <br /> Phone: (209)468-3420 <br /> INVOICE N13V L AR0031375 <br /> Account ID <br /> J" Facility ID FA0017892 <br /> Date Printed 11/20/2006 <br /> ws <br /> ARNAIZ, MATT RE : LODI USD-SHIPEE HME PK-DAVIS SCHOOL <br /> HOLMAN INVESTORS LLC 5234 E MORADA LN <br /> 3400 EIGHT MILE RD LODI, CA 95240 <br /> STOCKTON, CA 95212 <br /> OWNER : LODI UNIFIED SCHOOL DIST <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0155051 ---Date of Invoice: 11/17/2006 1111III1IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII 111111 VIII IIII IIII <br /> Hrs Employee <br /> 10/10/2006 2950 312-CONSULTATION 0.50 INFURNA $ 47.50 <br /> 10/13/2006 2950 310-FIELD CONSULT 2.00 INFURNA $ 190.00 <br /> Total for this Invoice $ 237.50 <br /> Payment Due Date 12/2012006 <br /> TOTAL DUE this Billing Period $ 237.50 <br /> PAYNIENT <br /> RECEIVED <br /> Dtc 0 7 2006 <br /> SAN JOA0011F1 COUNT`( <br /> ENVIRONME14TAL <br /> HEALTH DEP.ARTmENT <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 DES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee P ilties will be added at the Rate of 10% alties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Day: r the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />