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HEALTH DEPARTMENT Page 1 <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE aunt lD AR0037304 <br /> Facility ID FA0020785 <br /> Date Printed 3/3012011 <br /> PLANNED PARENTHOOD MAR MONTE RE: PLANNED PARENTHOOD MAR MONTE <br /> 1691 THE ALAMEDA 415 W BENJAMIN HOLT DR STE D-2 <br /> SAN JOSE,CA 95126 STOCKTON,CA 95207 <br /> OWNER: PLANNED PARENTHOOD MAR MONTE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0215184—Date of invoice: 3/30/2011 <br /> 3/30/2011 4530 LG QUANITY GENERATOR $ 182.00 <br /> Total for this of $ 182.00 <br /> Payment Due Date 4r.411 11 <br /> TOTAL DUE this Billing Perlodl $ 182.00 <br /> RLeCEI vz-') APR 0 3 2011 <br /> E''ij v S.IC.- P ofs <br /> Tern_ - <br /> 8atchRef# <br /> Ar <br /> Am <br /> A�„pu StIE}Atxtxitn <br /> A t <br /> Please make Checks PAYABLE to: 'EHO' -- 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 60 Days after the Invoice Date and each 30 Days dmwftw <br /> 5254.rpt <br />