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SAN JOAOUIN COUNTY 1r' Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0025636 <br /> Facility ID FA0015000 <br /> Date Printed F 3/28/2013 <br /> LODI GRADING& PAVING INC RE : LODI GRADING & PAVING INC <br /> <br /> LODI, CA 95240 <br /> OWNER : MICHAEL R JENNINGS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0236900---Date of Invoice: 2/1/2013 IIIIIIIIIIIVIVIII VIVIIIIIIIVIIIIIIIIII 111111111 IIII <br /> 2/1/2013 1921 HMBP-Regular-Primary Location S 315.00 <br /> 2/1/2013 2220 SM HW GEN<5 TONSNR $ 213.00 <br /> 2/1/2013 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 563.00 <br /> FAST <br /> (f Payment Due Date 3/3/2013 <br /> FAST �D BIER TOTAL DUE this Billing Period $ 563.00 <br /> 0 <br /> DD {j APR o 0 <br /> HAVP- C1o5ej t� S' te-15 toe tGF/V4kp $Z013 <br /> i,ve 40 trio+ stave q„ty w,oNer -fo Pay f11s / Svrey peRM� Ey�� 1Ty <br /> oy� ai usin�e-ss <br /> f 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 46 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br />