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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0017390 <br /> Facility ID FA0010390 <br /> Date Printed 7/1/2011 <br /> loommommommmomm <br /> SCHNEIDER NATIONAL INC RE : SCHNEIDER NATIONAL INC <br /> PO BOX 2500 161 E TRANSPORTATION CT <br /> GREEN BAY,WI 54306-2500 FRENCH CAMP, CA 95231 <br /> OWNER : SCHNEIDER NATIONAL INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0216905---Date of Invoice : 5/25/2011 IIIIII IIVIVII VIIIVIIVI VIII VIII VIIVII/IIIIIII VIII////IN <br /> 5/25/2011 4232 ALTERNATIVE/ENGINEERED SEPTIC SYS ANNUAL F $ 450.00 <br /> Total for this Invoicel $ 450.00 <br /> Payment Due Date 6/25/2011. <br /> TOTAL DUE this Billing Period $ 450.00 <br /> PAYMENT <br /> RECEIVED <br /> JUL - 1 2011 <br /> BAN JOAQUM COUNT' <br /> EM/IROH MENTAL <br /> PA <br /> KEALTH DERTMENT <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 CES I 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 />