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5AN JUAIJUIN C:UUN I Y <br /> ENVIRONMENTAL HEALTH DEPARTMI Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0027911 <br /> Facility ID FA0015999 <br /> Date Printed 5/25/2005 <br /> SOUSER, RUSSELL& SHARON RE : RENTAL UNITS <br /> RENTAL UNITS 10217 N HWY 99 <br /> 6333 PACIFIC AVE PMB 283 STOCKTON, CA 95212 <br /> STOCKTON, CA 95207 <br /> OWNER : SOUSER, RUSSELL J & SHARON <br /> Date Health <br /> Program Description Amcun,t <br /> I <br /> Invoice# IN0131412---Date of Invoice: 3/18/2005 I IIIIIII IIIIII III VIII VIII VIII VIII VIII ILII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> Hrs Employee <br /> 3/7/2005 3020 315-REPORT REVIEW 1.00 LAGORIO $ 93.00 <br /> 3/10/2005 3020 315-REPORT REVIEW 0.50 LAGORIO $ 46.50 <br /> 3/18/2005 9999 PAYMENT ($ 279.00) <br /> 4/6/2005 3020 310-FIELD CONSULT 1.00 LAGORIO $ 93.00 <br /> 4/12/2005 3020 310-FIELD CONSULT 3.00 LAGORIO $ 279.00 <br /> 4/19/2005 3020 310-FIELD CONSULT 2.50 LAGORIO $ 232.50 <br /> Total for this Invoice $ 465.00 <br /> Payment Due Date 6/24/2005 <br /> TOTAL DUE this Billing Period $y 465.00 <br /> PAYMENT <br /> RECEIVED <br /> JUN 9 2005 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 />