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SAN JOdQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> COPY ........._._._._......... <br /> Account ID AR0044341 <br /> INVOIC <br /> Facility ID FA0023910 <br /> Date Printed 10/31/2017 <br /> LARRY, SHARON RE : FARWEST SANITATION AND STORAGE <br /> FARWEST SANITATION AND STORAGE 2625 E 18TH ST <br /> 2625 E 18TH ST ANTIOCH, CA 94509 <br /> ANTIOCH, CA 94509 <br /> OWNER : FARWEST SANITATION AND STORAGE <br /> ^nate Health <br /> Program Description Amount <br /> Invoice# IN0302915---Date of Invoice: 1012712017 11111111 HIII 111 11111 11111 11111 11111 11111 HE 11111 11111 11111 1111 111111 11111 1111 1111 <br /> 10/27/2017 4244 PUMPER TRUCK $ 184.00 <br /> 10/27/2017 4244 PUMPER TRUC� \ $ 184.00 <br /> (�1 �`„ Totalforthislnvoice $ 368.00 <br /> p0b r �� Payment Due Date 11/3012017 <br /> TOTAL DUE this Billing Period $ 368.00 <br /> 1N <br /> A} ^ l <br /> ►v Iv <br /> � 3 <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 HMBP 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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />