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,AN JUAQUIN CUUNTY <br /> ENVIRONMENTAL HEALTH DEPAK I Ant-"'T Page 1 <br /> 600 E MAIN STREET '� `• <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Amount ID i AR0000341 <br /> I <br /> Facility ID LFA0000342 <br /> Date Printed 5/24/2007 <br /> NORTH VALLEY SCHOOL - -RE : NORTH VALLEY SCHOOL ' <br /> PO BOX 330 92755 N HWY 88 - <br /> VICTOR, CA 95253-0330 LODI, CA 95240 <br /> OWNER , NORTH VALLEY SCHOOL <br /> Date Health <br /> Program Description <br /> Amount <br /> I <br /> lllllll11111111I111111111111lfllllllll _ <br /> Invoice# IN0162157—Date of Invoice: 512312007 1Illllf111Jill]II VIII Illi fllllf Hill lli 1111 � <br /> 5/23/2007 1626 RESTAURANT/BAR 101 +SEATS <br /> $ 260.00 <br /> 5/23/2007 4242 WASTE WATER TX PLANT $ 470-00 <br /> Total for this Envaice $ 730.00 <br /> Payment Due Date 6/23/200 <br /> i <br /> TOTAL DUE this Billing Periodf, <br /> T30.00 <br /> PAYMENT <br /> RECEIVED <br /> JUN 13 2007 <br /> SAN JDAQUIN COUNTY <br /> ENVIRONMENTAL <br /> { HEALTH DEPARTMENT i <br /> 1 <br /> f <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!HMMP Fees For all SERVICE FEES <br /> k <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 />