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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM f <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account AR0003687 <br /> LOMMINNEMEMMIM <br /> Facility ID FA0004043 <br /> LMMEMEMMOMEMM <br /> Date Pnnted 3/25/2011 <br /> 71 <br /> LNEMENNEMMMMMOM <br /> C/O BING KIRK RE : SPRECKLES BUSINESS PARK <br /> AFK DEVELOPMENT LLC 18800 S SPRECKELS RD <br /> 1132 NORMAN DR MANTECA, CA 95336 <br /> MANTECA, CA 95336 <br /> OWNER : KIRK, EDWARD B <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0214877--Date of Invoice: 3/25/2011 IIIIIIIIIII III VIII VIII VIII IIIIIIIIII VIIIIIII VIII VIII/III IIIIII VIII/III/III <br /> Hrs Employee <br /> 3/22/2011 2960 315-REPORT REVIEW 1.00 INFURNA $ 122.00 <br /> Total for this Invoice $ 122.00 <br /> Payment Due Date 4124/2011 <br /> TOTAL DUE this Billing Period $ 122.00 <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 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 Data <br /> and each 30 Days thereafter <br /> 5254 rpt <br />