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ENVIRONMENTAL HEALTH DEPARTMr Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID ARa002229 <br /> Facility ID FAOOA2218 <br /> i <br /> Date Printed 5/28/2008 <br /> F <br /> SHELTON, L& MOON,J RE : BEL AIR MOBILE ESTATE <br /> BEL AIR MOBILE ESTATE 5835 CHEROKEE RD <br /> 5835 CHEROKEE RD STOCKTON, CA 95215 i <br /> STOCKTON,CA 95295 <br /> OWNER : SHELTON, LARRY& MOON,JOAN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0176371 —Date of Invoice: 5/27/2008 IlIIIl1lIIIIIIIII IIIIIIIIII IIIlIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIII11111111111III1lII <br /> 5/27/2008 4242 WASTE WATER TX PLANT $ 470.00 <br /> 5/27/2008 4623 100-199 SERVICE CONNECTIONS(CWS) $ 648.00 <br /> Total for this Invoice $ 1518.00 <br /> Payment Due Date 6/27/2006 <br /> TOTAL DUE this Billing Periodl $ ,918.00 <br /> PAYMENT <br /> RECEIVED <br /> { <br /> JUN 11' 20U8 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> i <br /> I <br /> r <br /> i <br /> .r <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 /> 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 46 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br />