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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMJ Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0040958 <br /> Facility ID I FA0022382 <br /> Date Printed 9/23/2014 <br /> CALIFORNIA ARMY NATIONAL GUARD RE : STOCKTON CSMS <br /> STOCKTON CSMS 8020 S AIRPORT WAY <br /> 10620 MATHER BLVD STOCKTON, CA 95206 <br /> MATHER, CA 95655 <br /> OWNER : CALIFORNIA ARMY GUARD MILITARY DEPAF <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0253924---Date of Invoice: 6/23/2014 I IIIIIIIIIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIIIIIIII IIII IIIIII IIIII IIII IIII <br /> Hrs Employee <br /> 5/27/2014 2953 315-REPORT REVIEW 1.00 MCCARTNEY $ 125.00 <br /> 6/19/2014 2953 312-CONSULTATION 0.50 MCCARTNEY $ 62.50 <br /> 6/23/2014 9999 PAYMENT ($ 625.00) <br /> 6/25/2014 2953 313-INSPECTION ACTIVITY 3.30 MCCARTNEY $ 412.50 <br /> 6/26/2014 2953 314-INSPECTION ACTIVITY FINAL 1.00 MCCARTNEY $ 125.00 <br /> 6/30/2014 2953 315-REPORT REVIEW 2.00 MCCARTNEY $ 250.00 <br /> 7/1/2014 2953 315-REPORT REVIEW 0.20 MCCARTNEY $ 25.00 <br /> 9/3/2014 9999 PAYMENT ($ 350.00) <br /> Total for this Invoice $ 25.00 <br /> Payment Due Date 8/23/2014 <br /> Invoice# IN0256047---Date of Invoice: 9/23/2014 11111111 IIIIII III IIIII IIIII IIIIIIIIII IIIII IIIII IIIII IIIII IIIIIIIII IIIIII IIIIIIIIIIIII <br /> Hrs Employee <br /> 9/9/2014 2953 315-REPORT REVIEW 1.00 MCCARTNEY $ 130.00 <br /> 9/12/2014 2953 315-REPORT REVIEW 0.20 MCCARTNEY $ 26.00 <br /> 9/15/2014 2953 315-REPORT REVIEW 0.30 MCCARTNEY $ 39.00 <br /> Total for this Invoice $ 195.00 <br /> Payment Due Date 10/23/2014 <br /> i <br /> TOTAL DUE this Billing Period $ 220.00 <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 />