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JHN JUAWUIN UUUN I T <br /> ENVIRONMENTAL HEALTH DEPARTMr-NT Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0023136 <br /> Facility ID FA0013764 <br /> Date Printed 5/28/2010 <br /> A SAMBADO & SON INC RE : A SAMBADO & SON 39-370 <br /> A SAMBADO & SON 39-370 15294 E EIGHT MILE RD <br /> 8077 N TULLY RD LINDEN, CA 95236 <br /> LINDEN, CA 95236 <br /> OWNER : SAMBADO, LAWRENCE J & BEVERLY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0204482---Date of Invoice: 5/28/2010 I IIIIIII IIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIIIII IIIII IIII IIII <br /> Hrs Employee <br /> 4/21/2010 2765 R28-OCCUPANCY RE-INSPECTION 1.00 VELOSO-CACAPIT $ 115.00 <br /> Total for this Invoice $ 115.00 <br /> Payment Due Date 6/27/2010 <br /> TOTAL DUE this Billing Period $ 115.00 <br /> REt�EIVEL) <br /> 1 <br /> JUN 1 4 2010 <br /> SAN ENVJOAOUIN COU <br /> NTy <br /> HEALTI RDE A NTAL T <br /> (b//o <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 /> 5254.rpt <br />