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+ owry avnutuuv �.vuiv� r �" Page 1 <br /> k` ENVIRONMENTAL HEALTH DEPARTM NT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 I <br /> INVOICE Account It) F AR0000341 <br /> Facility ID FA0000342 <br /> I <br /> Date Printed 5/28/2008 I <br /> NORTH VALLEY SCHOOL tRE NORTH I/ALLEY SCHOOL.' v <br /> + PO BOX 330 12755 N HWY 8$ <br /> I, VICTOR, CA 95253-0330 LODI, CA 95240' <br /> OWNER : NORTH VALLEY SCHOOL <br /> I` Date Health <br /> Program Description Amount <br /> Invoice# IN0176021 -_-- - ��- T A�y�J��� �:��y--� u. -lllflllllll111llllfllllifllrvf[IIIlllllflllllfl[Illllllllillllllllllllllllllllllllllfll STM <br /> --Date of Invoice: 5/27/2008 <br /> 5/27/2008 1626 RESTAURANT/BAR 101 +SEATS $ 260.00 <br /> 51271200$ 4242 WASTE WATER TX PLANT $ 470.00 <br /> Totalforthis Ingo $ 730.00 <br /> Payment Due Date 6/27/2008 <br /> TOTAL DUE this Billing Periodl $ 730.00 <br /> PAY��1 vial} <br /> RECD <br /> SAN JOAQUIN COUNN i <br /> ENV1R0,, F_t4TAt_ <br /> t{F�tTH DEPARTMENT <br /> i <br /> I <br /> I <br /> i <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 wil I 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 /> I <br /> 5254.rpt <br />