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{p <br /> SAN JUAQUIN L;VUN I Y Pac <br /> t . <br /> ENVIRONMENTAL HEALTH DEPARTR 1T <br /> 304 E WEBER AVE -3RD FLOOR W' ` <br /> STOCKTON, CA 95202 <br /> COPYPhone: (209}468-3420 <br /> INVOICE Account ID AR0000331 <br /> Facility ID LFAOaKj <br /> Date Printed 5/23/2006 <br /> FORD, PAUL RE : VILLA CEREZOS <br /> VILLA CEREZOS' 12348 N HWY 99 <br /> 12901 TRIPOLI CT LODI, CA 95240 <br /> LOS ALTOS, CA 14022 <br /> OWNER : FORD, PAUL & LOIS <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0148206---Date of Invoice: 511 9/2006 J Il�llillllil[IIl1 !III If1fIlIi1111111Iflfllllll llllflllf ll[llil[IIIIIIIC IIIIIIIIIf <br /> 5/19/2006 4242 WASTE WATER TX PLANT $ 470.00 <br /> 5/19/2006 4622 25-99 SERVICE CONNECTIONS(CWS) $ 477.00 <br /> Total forthis invoice $ 947.00 <br /> I Payment Due Date 612212006 <br /> TOTAL DUE this Billing Period $ /947.40 <br /> Ay N41 E N <br /> JUN 0 7 �« <br /> SAN JOAC7'UN CCIJi qy <br /> ENVIRONMENTAL <br /> HEALFH DEPARTMEM-r <br /> ,. Please make Checks PAYABLE to: 'END' -- 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 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 />