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SAN JOAQUIN COUNTY 3,361 <br /> ENVIRONMENTAL HEALTH DEPARTM--'T Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 1-T <br /> INVOICE w , I--L5- Account ID AR0001720 <br /> Facility ID FA0001721 <br /> Date Printed 2/27/2004 <br /> RALPH LEE WHITE RE : TRAVO-TEL MOTEL <br /> TRAVO-TEL MOTEL 2305 S EL DORADO ST <br /> 2230 S AIRPORT WY STOCKTON, CA 95206 <br /> STOCKTON, CA 95206 <br /> OWNER : GARDELLA, JOE ESTATE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0113002---Date of Invoice: 11/18/2003 <br /> 11/18/2003 3699 OUT OF SERVICE POOL/SPA S 105.00 <br /> 1/7/2004 9999 PAYMENT ($ 105.00) <br /> 2/13/2004 9003 RETURN CHECK FEE $ 28.00 <br /> 2/15/2004 9998 CORRECTION TO A PAYMENT $ 105.00 <br /> 2/17/2004 9003 RETURN CHECK FEE $ 4.05 <br /> Total for this Invoice $ 137.05 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 137.05 <br /> FAST DUE! <br /> WE WOULD APPRECIATE TODAY!YOUR <br /> PAY P��u7 �SrE � 13-7, "T- <br /> PECEIVEp <br /> R <br /> OR 17 2004 <br /> ouw COU14V <br /> SA ENV RONM RTMENT <br /> HEALTH DEPA <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 OES!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 /> 5255.rpt <br />