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SAN JOAQUIN COUNTY 71 . - , Page 1 j <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 I� <br /> INVOICE Account ID AR0026516 J <br /> Facility 1D FA0015391 <br /> i <br /> Date Printed. 11/22/2010 I <br /> i <br /> I � <br /> RAY& BERTHA GARCIA RE : GARCIA SEPTIC SERVICE <br /> GARCIA SEPTIC SERVICE 322 W RIVER RD STE 100 <br /> 322 W RIVER RD STE 100 MODESTO, CA 95351 <br /> MODESTO, CA 95351 <br /> OWNER : GARCIA, RAY& BERTHA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0209246---Date of Invoice: 11/1912010 I IIIIIII IIIIII III IIIII IIIA VIII IIIII IIIII VIII 11111 11111 IIII 111111 1111 Illi IIII <br /> i <br /> 11/19/2010 4244 PUMPER TRUCK $ 158.00 <br /> Total for this Invoice $ 158.00 <br /> ' I <br /> Payment Due Date 12/22/2010 <br /> TOTAL DUE this Billing Period $ 158.00 <br /> rte;= . .-• <br /> b <br /> Y � i <br /> f <br /> F <br /> 1 ' <br /> fII <br /> • 1 <br /> y, 111 <br /> j <br /> j <br /> li <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 /> i 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 />