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a AN JOAQUIN COUNTY Page 1 <br /> i NVIRONMENTAL HEALTH DEPARTMENT <br /> 168 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0017986 <br /> Facility ID FA0010986 <br /> Date Printed 2/28/2013 <br /> OLDCASTLE PRECAST RE : OLDCASTLE PRECAST <br /> PO BOX 608 15540 S MCKINLEY RD <br /> AUBURN,WA 98071 LATHROP, CA 95330 <br /> OWNER : OLDCASTLE PRECAST INC <br /> Health <br /> Program Description Amount <br /> Date <br /> Invoice# IN0236505---Date of Invoice: 2/1/2013 <br /> I IIIIIE IIIIIIIIIVIIIIIIiI VIII IIIII1IIIf IIIA VIII VIII VIII IIII IIIIII VIII II1I III{ <br /> 2/1/2013 1921 HMBP-Regular-Primary.Location $ 675'00 <br /> 2/1/2013 2220 SM HW GEN<5 TONSIYR $ 213.00 <br /> 21112.013 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 923.00 <br />{ Payment Due Date 313/2013 <br /> TOTAL DUE this Billing Periodii 923.00 <br /> i <br /> 1 k <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 /> J 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 so Days-after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />