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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOICE COPY Account ID ,AR0044341 <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 /> Date Health <br /> Program Description Amount <br /> Invoice# IN0302915---Date of Invoice: 10/27/2017 I(IIIIII IIIIII III VIII VIII VIII VIII VIII VIII IIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 10/27/2017 4244 PUMPER TRUCK $ 184.00 <br /> 10/27/2017 4244 PUMPER TRUCK n $ 184.00 <br /> I� <br /> Total for this Invoice $ 368.00 <br /> Payment Due Date 11/30/2017 <br /> V / <br /> TOTAL DUE this Billing Period $ 368.00 <br /> 11 <br /> A) n l <br /> Jv Iv <br /> 3 <br /> 0� <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.Mt <br />