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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTI T Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0046265 <br /> INVOICE <br /> Facility ID FA0024723 <br /> Date Printed 12/9/2019 <br /> ROSS, ROBERT& DEBRA RE : ROSS, ROBERT& DEBRA <br /> 8031 HOUSTON RD 18480 E WALNUT ST <br /> LINDEN, CA 95236 CLEMENTS, CA 95227 <br /> OWNER : ROSS, ROBERT & DEBRA <br /> Date Health <br /> Program Description Amount 11 <br /> Invoice# IN0332196---Date of Invoice: 11/14/2019 11111111111111 h 11111 IHI�1111 111 1111 1111 H�l 1111 1H�1111 V�l 1111111 <br /> Hrs Employee <br /> 9/4/2019 1322 C54-Office-Case Review, Permit Check 0.30 BENIAMINE $ 45.60 <br /> Total for this Invoice $ 45.60 <br /> Payment Due Date 12/15/2019 <br /> TOTAL DUE this Billing Period $ 45.60 <br /> PAYMENT RECEIVED <br /> NOV 21 2019 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <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 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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> �'54,rpt <br />