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bAN JUAWUiIV I.UUN I r <br /> ENVIRONMENTAL HEALTH DEPARTMENT t Page 1 <br /> 600 E MAIN.i1STREET <br /> STOGCTON, CA 95202 ` <br /> Phone: (209)468-3420 COPY <br /> INVOICE Account ID AR0027995 <br /> k Facirity ID FA0016053 <br /> .Date Printed 11/20/2008 <br /> GAUSE, KEVIN J RE : FOOTHILL SANITARY <br /> FOOTHILL SANITARY 33 COPPER COVE ST <br /> PO BOX 702 COPPEROPOLIS, CA 95228 <br /> COPPEROPOLIS, CA 95228 <br /> OWNER : GAUSE, KEVIN J <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN 0181834—Date of Invoice: 11/19/2008 I IIIIIII IIIIII III IIIII IIIII IIIII IIIII Illll IIIII IIIIIIllillllll IIII 11!1!1 II1111I11 IIII <br /> 11/19/2008 4244 PUMPER TRUCK $ 150.00 <br /> Total for this Invoice $ 150.00 ' <br /> Payment Due Date 1212012008 <br /> TOTAL DUE this Billing Period $ 150.00 <br /> - EN <br /> REQ IVES <br /> DP C 12 ZD4�8 <br /> SAN JOAOUIN COUNT <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> 4a <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 />