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ENVIRONME4WTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET -'- <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 , <br /> i <br /> INVOICE <br /> Account ID AR0002927 <br /> Facility ID FA0003350 , <br /> Date Printed 1/2/2008 <br /> MELLIFONT, KEVIN RE : UNITED SITE SERVICES <br /> { UNITED SITE SERVICES 360 N TENTH ST <br /> 3408 HILLCAP AVE SACRAMENTO, CA 95814 i <br /> SAN JOSE, CA 95136-1306 <br /> OWNER ., UNITED SITE SERVICES OF CA INC <br /> Date Health j <br /> Program Description <br /> Amount <br /> 1� Invoice# IN0169707—Date of Invoice: 11212008 11111111 lillll III VIII VIII VIII VIII VIII VIII VIII IIII VIII IIII Illlll 11111 111[IIII <br /> 1/2/2008 4244 PUMPER TRUCK $ 141.00 <br /> Total for this Invoice $ 141.00 <br /> Payment Due Date 2/1/2008 <br /> i <br /> TOTAL DUE this Billing Period $ 141.00 <br /> r <br /> i <br /> i <br /> I <br /> I <br /> i <br />'r <br /> i <br /> i <br /> Please make Checks PAYABLE to: 'EHD' - Return a Copy of This STATEMENT with Your PAYMENT <br /> I <br /> i <br /> Penalties will be added to all Permit Fees For OE51 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 I <br /> f <br /> IIE 5254.rpt <br /> I 1 <br /> I <br />