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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPA TMl <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0033734 <br /> Facility ID IFA0018967 <br /> Date Printed 1 4/23/2013 <br /> VINCENT, G LENRE : BILLS MOWER& SAW <br /> BILLS MOWER 8, S W 7834 W ELEVENTH ST <br /> 7834 W ELEVENTH ST TRACY, CA 95304-8867 <br /> TRACY, CA', 95304- 867 <br /> OWNER : VINCENT, GLEN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0237955---Date of Irjvoice: 21/2013 I 111111111$ <br /> III 11111 <br /> VIII VIII VIII VIII VIII VIII VIII VIII IIII II'lll VIII IIII IIII <br /> 2/1/2013 2220 SIM HW GE <5 TONS/YR $ 213.00 <br /> 2/1/2013 2399 UNIFIED P OGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 248.00 <br /> Payment Due Date 3/3/2013 <br /> TOTAL DUE this Billing Period $ 248.00 <br /> Please make Checks PA�ABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For HMBP 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 /> i2i4.rpt <br />