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JAN JUAUUIN UUUN I T Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM—"T <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0023136 <br /> Facility ID FA0013764 <br /> Date Printed 4/24/2009 <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# IN0188993---Date of Invoice: 4/23/2009 I(IIIIII IIIIII III IIII IIIII IIIII IIIII IIIII IIIII IIIII IIIIIIIIII IIII IIIIII IIIII IIII IIII <br /> Hrs Employee <br /> 3/2/2009 2755 R28-OCCUPANCY RE-INSPECTION 1.00 RIVERA $ 105.00 <br /> Total for this Invoice $ 105.00 <br /> Payment Due Date 5/24/2009 <br /> TOTAL DUE this Billing Period $ 105.0 <br /> PAYMENT <br /> RECEIVED <br /> MAY 4 2009 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DE,„RT ,T <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 />