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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 AR00001 O6 <br /> Facility ID F FA0000 007 <br /> Date Printed 9/7/2011 <br /> MANI INVESTMENT RE : FRENCH CAMP APARTMENTS <br /> FRENCH CAMP APARTMENTS 7501 S ELDORADO ST <br /> 37 HOSPITAL RD FRENCH CAMP, CA 95231 <br /> FRENCH CAMP, CA 95231 <br /> OWNER : MANI, SUBAR <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0216100--Date of Invoice: 5/25/2011 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII 1111111111111 <br /> 5/25/2011 4242 WASTE WATER TX PLANT $ 525.00 <br /> 8/15/2011 9994 PERMIT FEE PENALTY S 525.00 <br /> 9/15/2011 9997 CORRECTION TO A CHARGE IS 525.00) <br /> Total for this Invoice $ 525.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period 525.00 <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 DES 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 />