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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 to iAR0042063 <br /> INVOICE <br /> Facility ID l FA0022938 <br /> Date Printed f.. 5/20/2015 <br /> LEVEL 3 COMMUNICATIONS LLC RE : LEVEL 3 COMMUNICATIONS-TRACCADR <br /> ROBERT GURDIKIAN 1660 W LINNE RD <br /> 1025 ELDORADO BLVD, ENVIRONMENTAL TRACY, CA 95377 <br /> MANAGEMENT 43C-3 <br /> 25 OWNER : LEVEL 3 COMMUNICATIONS, LLC <br /> BROOMFIELD, CO 80021 <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0266187---Date of Invoice: 5/20/2015 I II II I III VIII I III II IIIVIIIVI IIIIV V I I I II 111111111 IN <br /> 5/20/2015 1921 HMBP-Regular-Primary Location $ 270.00 <br /> 5/20/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this I nvoic-1 $ 305.00 <br /> Payment Due Date 6/19/2015 <br /> TOTAL DUE this Billing Period $ 305.00 <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 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 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254 rpt <br />