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Account ID <br />Facility ID <br />Date Printed <br />AR0004778 <br />FA0002644 I <br />11/22/2010 II <br />RE: PARKWOODS HOMEOWNERS ASSN <br />7615 OAKMONT DR <br />STOCKTON, CA 95207 <br />ENVIRONMENTAL HEALTH DEPARTME <br />GOO E MAIN STREET <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />PARKWOODS HOMEOWNERS ASSN <br />2339 W HAMMER LN STE C PMB 254 <br />STOCKTON, CA 95209 <br />OWNER: PARKWOODS RECREATION ASSN <br />Date Health <br />Program Description Amount <br />Invoice # IN0209048 -- Date of Invoice : 11/19/2010 <br /> <br />1 111111111111111 11111 111111111111111 11111111111111111111 11E1E1 11111 11111111 <br />1 1/1 9/201 0 3697 CALIFORNIA AB1020 VGB SURCHARGE $ 6.00 <br />1 1/19/201 0 3699 POOL/SPA - OUT OF SERVICE $ 110.00 <br />Total for this Invoice 116.00 <br />Payment Due Date 12/22/2010 <br />TOTAL DUE this Billing Periodi $ 116.00 <br /> <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 <br /> 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br />5254 rpt