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aA:1 J01 LCIIR i4.,,. Z5JW? X;tj r.r iA FLuLA [ <br /> SAN JOAQUIN COUNTY Paye 1 <br /> ENVIRONMENTAL HEALTH DEPARTMEF� <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)4613-3420 <br /> INVOICE Account ro AR0026653 <br /> Facility 10 FA0015447 <br /> Data Printed 11/1912004 <br /> JAMES BYRD/13ESIREE BRITT RE: STOCKTON ROYAL THEATRE <br /> STOCKTON WORSHIP CENTER 1825 PACIFIC AVE <br /> 8407 KELLEY DR STOCKTON,CA 95204 <br /> STOCKTON,CA 95209 <br /> OWNER: CORT,DANIEL <br /> Date Health <br /> Program Description Amount <br /> ktvoice>+ iF10121670—irate of invoice: 6l14/2�iu.1 11141111 MR4911111bi11Ul1Itfllmmill RIIIUUIf1111INN[I[moll iIII illiillt' <br /> Hrs Employee <br /> 6+312004 2950 315-REPORT REVIEW 1.00 LAGORIO S 93.00 <br /> BJi 12004 2950 310-FIELD CONSULT 5.10 INFURNA $ 474.30 <br /> til7/2004 2950 910-OT FIELD CONSULT 1.50 INFURNA $ 209.25 <br /> 6lt312004 2950 310-FIELD CONSULT 0.70 INFURNA S 65.10 <br /> 6114/2004 99% PAYMENT (S 279.00) <br /> 62512004 2950 315-REPORT REVIEW 1.20 INFURNA 3 111.60 <br /> 8/30/2004 2950 315.REPORT REVIEW 1.00 INFURNA S 93.00 <br /> �ota1 tot this Invoice $ 767.25 <br /> PAST DUE <br /> r TOTAL DUE this Billing Period $ 767.25 <br /> f-. mss. - •. �tr <br /> U LZ • <br /> WE WOULID A!';'RECIATE YOU <br /> PAYIU ENT TODAY! PAYMENT <br /> RECEIVED <br /> JAN - 7 2005 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'F-HD' — 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% Penaldes.will be added at the Rate of 1056 <br /> 30 Days after the Due Date 45 Days after the Invoice bate 6o Days -r the Invoice Date and each 30 Days thereafter <br /> 5255.rpt ` <br />