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ENVIRONMENTAL HEALTH DEPARTIVIE Page 1 t <br /> 600E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 COPY <br /> INVOICE Account ID AR0002321 <br /> Fac!Nty ID 1'A0002308 <br /> t <br /> Date Printed 5/28/2008 <br /> JESSE ESQUIVEL `RE': ' COUNTRY SQUIRE MOBILE ESTATES <br /> COUNTRY SQUIRE MOBILE ESTATES 4350 CHEROKEE:RD. <br /> 3611 PLEASANT KNOLL DR STOCKTON,._CA 95215... <br /> SAN JOSS, CA 95148 , <br /> OWNER : ESQUIVEL,JESSE <br /> Health <br /> Date Program Description <br /> Amount M <br /> Invoice# IN0176395—Date of Invoice: 5/27/2008 IIIIIIIIIlllllIlllilEIIIIIIIIII Ell IllllIIIIIIllilliiilIllllIllllllll Hill fill IIII <br /> 5/27/2008 4242 WASTEWATER TX PLAINT . <br /> 5/27/2008 4622 25-99 SERVICE CONNECTIONS CWS $ .00 <br /> � ) $ 51616.00 <br /> i <br /> Total iorthis Invoice $ 986.00 <br /> L. <br /> Payment Due Date 6/27/2008 <br /> i <br /> TOTAL DUE this Billing Period �986.00 <br /> C ��61 <br /> j o 2 2oc�8 <br /> SAN J0AQ0N 1OT TY <br /> n QNME <br /> NEA�YH DEPARTMEt4T . <br /> i <br /> EIE <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 1 HMMP Fees For all SERVICE FEES <br /> E 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 4 <br />