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SAN JOAQUIN COUNTY Page 1 <br /> ENVIE O.NMENTAL HEALTH DEPARTMEIN <br /> 304 E WtBER AVE -3RD FLOOR - - <br /> STOCKTON, CA 95202 <br /> {I Phone: (209)468-3420 <br /> { INVOICE Account ID AR0002321 <br /> Facility ID FA0002308 <br /> Date Printed 5/23/2006 <br /> RICARDO & HELEN ESQUIVEL RE : COUNTRY SQUIRE MOBILE ESTATES <br /> COUNTRY SQUIRE MOBILE ESTATES 4350 CHEROKEE RD <br /> 3591 MILLICENT CT STOCKTON, CA 95215 <br /> SAN JOSE, CA 95148 <br /> OWNER : ESQUIVEL, RICARDO E& HELEN M <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0148631 --Date of Invoice: 5119/2006 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillllllllllllflllflllllHill lllllllf <br /> 5/19/2006 4242 WASTE WATER TX PLANT $ 470.00 <br /> 5/19/2006 4622 25-99 SERVICE CONNECTIONS(GWS) $ 477.00 <br /> Total for this Invoice $ 947.00 1 <br /> Payment Due Date 122/2006 <br /> 1 TOTAL DUE this Billing Period $ (f=94 ` <br /> PAY NgL-L E, <br /> RECEIVEC <br /> JUN 1 <br /> ,. SAN JOAQUjr)COUr, <br /> ENVIRONMENTAL <br /> EAITld1r <br /> J <br /> l <br /> i <br /> k <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 I 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 /> 5254.rpt <br />