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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA. 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID ARoo2sns <br /> Facility ID FA0014788 <br /> Date Printed 10/27!2003 <br /> CHANDLER,WILEY RE : DEL MONTE AREA <br /> DEL MONTE AREA E(FORMER)WHRHS(CURR) E(FORMER)WHRHS(CURR) <br /> PO BOX 507 110 N FILBERT ST <br /> STOCKTON, CA 95201-0507 STOCKTON, CA 95205 <br /> OWNER : CHANDLER, WILEY <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0109745—Date of Invoice: 719/2003 <br /> Hrs Employee <br /> 7/7/2003 2950 315-REPORT REVIEW 3.60 INFURNA $ 320.40 <br /> 7/8/2003 2950 315-REPORT REVIEW 0.50 INFURNA $ 44.50 <br /> 7/9/2003 9999 PAYMENT $F �m ($ 267.00) <br /> FA <br /> ��1.:.d 1 U L � ITotal for thislnvoice $ 97.90 <br /> WE WOULO n PPRE:C!ATE YC31,iR Payment Due Date 9124/2003 <br /> TODAY! <br /> Invoice# IN0111341 —Date of Invoice : 9/23/2003 <br /> Hrs Employee <br /> 8/7/2003 2950 310-FIELD CONSULT 1.90 INFURNA $ 176.70 <br /> 8/20/2003 2950 315-REPORT REVIEW 1.00 INFURNA $ 93.00 <br /> SEC <br /> Total for this Involcel $ 269.70 <br /> �1 Payment Due Date 10/24/2003 <br /> Invoice# IN0112241 -Date of Invoice: 10/24/2003 �1 <br /> Hrs Employee <br /> 9/5/2003 2950 310-FIELD CONSULT 5.10 INFURNA $ 474.30 <br /> Total for this Invoice $ 474.30 <br /> Payment Due Date 11/2612003 <br /> TOTAL DUE this Billing Period $ 841.90 <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 DES I 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 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />