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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 AccountlD AR0035745 <br /> Facility ID FA0020054 <br /> Date Printed 12/4/2013 <br /> STEAGALL, KENNY RE : MOUNTAIN VALLEY SEPTIC <br /> MOUNTAIN VALLEY SEPTIC 5108 E MONTE VITA AVE <br /> PO BOX 2445 DENAIR, CA 95316 <br /> OAKDALE, CA 95361-5445 <br /> OWNER : STEAGALL, KENNY A <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0245057---Date of Invoice: 11/19/2013 11111 HE 1111 111111 11111 1111 11111 <br /> 11/19/2013 4244 PUMPER TRUCK $ 158.00 <br /> Total for this Invoice $ 158.00 <br /> Payment Due Date 12/20/2013 <br /> TOTAL DUE this Billing Period $ 158.00 <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 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />