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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> Account ID AR0003672 <br /> INVOICE e-efl <br /> Facility ID FA0004032 ,;] <br /> Date Printed F 4/2507 <br /> SMITH,TREVOR RE : AMERICAN MOULDING & MILLWORK <br /> MILL CREEK DEVELOPMENT (FRMR) <br /> 1313 W ROBINHOOD DR STE A-9 2801 WEST LN <br /> STOCKTON,CA 95207 STOCKTON,CA 95204 <br /> OWNER : LAZARES, DAVID <br /> Date Health __ Amount <br /> P og am Oescdptlon - ---- <br /> Invoice# IN0160969—Date of Invoice: 3126/2007 IIIIIIIIIIIIIIIII lllll�llllllll llllllllllllllllull 1111 IN <br /> His Employee <br /> 3/26/2007 9999 PAYMENT ($ 285.00) <br /> 3/26/2007 2959 310-FIELD CONSULT 1.00 LAGORIO $ 95.00 <br /> 3/2712007 2959 310-FIELD CONSULT 1.00 LAGORIO $ 95.00 <br /> 3/28/2007 2959 310-FIELD CONSULT 1.50 GIRARDI 1 $ 142.50 <br /> 3/29/2007 2959 310-FIELD CONSULT 2.50 GIRARD[ $ 237.50 <br /> Total forlhis Invoice $ 285.00 <br /> Payment Due Date 5/25/2007 <br /> TOTAL DUE this Billing Period $ 285.00 <br /> �b <br /> PAYMENT <br /> RECEIVED <br /> -� MAY 17 2UL <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' - Return a Copy of This STATEMEN with Your PAYMENT <br /> Penalties will be added to all Permit Fees For DES/HMMP Fees Iror 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 /> 5254.rpt <br />