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ENVIRQf MENTAL HEALTH DEPARTMEW Page 1 J <br /> 606E MAIN STREET I <br /> STQKTON, CA 95202 �•! <br /> Phone: (209)468-3420 <br /> INVOICE Account 113 Aa0D26517 <br /> Facility ID FAOOT5392 <br /> r. _�. <br /> Date.Printed 11120!2008 <br /> WINDMILL SEPTIC SERVICE RE : WINDMILL SEPTIC SERVICE <br /> 20504 S HWY 99 FRONTAGE RD r 20504 S HWY 99 FRONTAGE RD <br /> RIPON, CA 95366 RIPON, CA 95366 <br /> OWNER.: WINDMILL SEPTIC SERVICE <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0181827-_Date of Invoice: 1111912008 I IIIIIIIIIIIIIIII IIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 111111 111111111 IN <br />�. 11/19/2008 4244 PUMPER TRUCK <br /> $ 150.00 1 <br /> a 11/19/2008 4244 PUMPER TRUCK $ 150.00 <br /> 11/19/2008 4244 PUMPER TRUCK <br /> $ 150.00 <br /> 11/19/2008 4244 PUMPER TRUCK <br /> ' $ 150.00 <br /> 11/19/2008 4246 PUMPER YARD <br /> $ 105.00 <br /> 11/19/2008 4255 CHEMICAL TOILETS $ 300.00 <br /> Total for this Invoice $ 1,005.00 <br /> Payment Due.Date �s X00 <br /> - t <br /> TOTAL DUE this Billing Period $ .,1,005.0 <br /> i <br /> no MEN <br /> � L <br /> . R <br /> DED 17 2008 <br /> i <br /> i <br /> . i <br /> Please make Checks PAYABLE to: 'EHD' _ Return a Copy of This STATEMENT with Your PAYMENT <br />� <br /> Penalties will be added to all Permit Fees For OES!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 /> I <br />