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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE. <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0001632 <br /> INVOICE <br /> Return Th <br /> 12/31/2020 <br /> LAKEPOINTE COA RE : LAKEPOINTE COA <br /> 5230 N CLARK AVE#10 2235 PICCARDO CIR <br /> LAKEWOOD, CA 90712 STOCKTON, CA 95207 <br /> OWNER : BERGGUIST, DWIGHT A <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0341289---Date of Invoice: 10/29/2020 111111 Ell E 11111 1�1�1 1111 11111 11111 1111 11111 ifi�11111 1A 1111�11N IN IN <br /> 10/29/2020 3611 PUBLIC POOL/SPA-PRIMARY $ 283.00 <br /> Total for -Invoice $ 283.00 <br /> Payment Due Date 12/5/2020 <br /> TOTAL DUE this Billing Period $ 283.00 <br /> PASTCIATF <br /> DUES <br /> WE WOULD PAYMENT TODAY!WE <br /> UR <br /> Please make Checks PAYABLE to: 'EHD' <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 /> 52J4.rnt <br />