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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEP RTMF - Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0001954� <br /> Facility ID FA000194�■6.-ii <br /> Date Printed 7/27/2011 <br /> MATAR, MOHAMA0 S RE : QUICK N SAVE* <br /> QUICK N SAVE* 1 1901 S EL DORADO ST <br /> 1901 S EL DORADO ST STOCKTON, CA 95206 <br /> STOCKTON, CA 91206 <br /> OWNER : MATAR, MOHAMAD S <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0218424---Date of Invoice : ;/27/2011 11111 1111 111111 11111 IN IN <br /> Hrs Employee <br /> 6/1/2011 2300 544-Com PLAINT INSP(actual time) 2.00 BACKUS $ 244.00 <br /> Total for this Invoice $ 244.00 <br /> Payment Due Date 8/26/2011 <br /> TOTAL DUE this Billing Period $ 244.00 <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 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 /> j2>4.rpt <br />