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OAN JVAWUIN L;UUNIY <br /> ENVIRONMENTAL HEALTH DEPARTMENT; Page 1 <br /> 600,E MA!V.STREET <br /> STCICKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> s� -., INVOICE - AccountID AROD00759 <br /> Facility ID FAQQQQ76� l <br /> Date Printed 19/20/2008 <br /> SANDRA HUNT& GROVER LEROY JR" RE : C&C CHEMICAL TOILET RENTAL <br /> C&C CHEMICAL TOILET RENTAL 3111 STANISLAUS ST#13 <br /> PO BOX 1523 RIVERBANK, CA 95367 i <br /> RIVERBANK, CA 95367 <br /> OWNER . HUNT, SANDRA&GROVER LEROY JR <br /> <. Date Health <br /> Program Description f <br /> Amount <br /> L. Invoice# IN0181357—Date of Invoice. 11/1912008 IIIIIIIl IIIIIIIIllllll lllllflllllflll lllll llllf III11fNlllllll llflfllllllllllfill llN <br /> 11/19/2008 4244 PUMPER TRUCK <br /> $ 150.00 <br /> 11/19/2008 4255 CHEMICAL TOILETS $ 120.00 <br /> Total for this Invoice $ 270.00 <br /> Payment Due Date 1212012008 <br /> w TOTAL DUE this Billing Period $ 270.00 <br /> PAYMENT <br /> RECEIVED <br /> DEC 12 zoos h <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL i <br /> HEALTH D ARTM <br /> EW <br />}_ II <br />{" r <br /> M <br /> i <br /> ' I <br /> Please make Checks PAYABLE to. 'EHD' Return a Copj of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES I HMMP Fees For all SERVICE FEES I <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 46 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br /> 1 <br />