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JAN JUAUUIN UIJUN I Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 600 E MAIN STREET <br /> STO 95202 COPY <br /> Phone:e: (209(209) 46 468-3420 <br /> INVOICE Account lD AR0000106 111 <br /> Facility ID FA0000107 <br /> Lonswommmmmma <br /> Date Printed F 7/27/2011 <br /> MANI INVESTMENT RE : FRENCH CAMP APARTMENTS <br /> FRENCH CAMP APARTMENTS 7501 S EL DORADO 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 ( IIII IIII III VIII VIIIVIIIVIIIVIII VIIIVIIIVIII VIII IIIIIIIIIIVIII IIII IIII <br /> 5/25/2011 4242 WASTE WATER TX PLANT S 525.00 <br /> Total for this Invoice $ 525.00 <br /> Payment Due Date 6/25/2011 <br /> d.S D j )5 0 TOTAL DUE this Billing Period -$ 525.00 <br /> 11 )i PAYMENF <br /> WE WOULD APPRECIATE YOUR RECEIV^D <br /> PAYMENT TODAY! SEP - 2 2011 yyn6ae B° <br /> SAN JOAQi,,1N TM <br /> ENVIRONMENTALY <br /> HEALTH DEPARTMENT <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 /> i'_;4 rpt <br />