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SAA')OAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART <br /> TNT '� .. <br /> 600 E MAIN'STREET Page 1 <br /> STOCKTON, CA 95202 <br /> Phone: (209)468,3420 <br /> INVOICE AccountiD A�0000ls2 <br /> t Facility ID FA0000153 <br /> I <br /> Date Printed f/2/200 <br /> j BIBB, LINDA RE : CLARK SEPTIC SERVICE LLC <br /> CLARK SEPTIC SERVICE LLC 852 CHARLES RD <br /> PO BOX 1475 HUGHSON, CA 95326 <br /> HUGHSON, CA 95326-1475 <br /> OWNER : BIBB, LINDA <br /> Date Health F <br /> Program Description <br /> JII I IAmount <br /> Invoice# IN0169703--Date of Invoice: 112/2008 11111111 Illlli If 1111111 IIIA VIII <br /> { IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIfIIIIIIIIfIlillllll <br /> 1/2/2008 4244 PUMPERTRUCK <br /> $ 141.00 <br /> Total for this Invoicel $ 141.00 <br /> Payment Due Date 2/112008 <br /> 1 TOTAL DUE this Billing Period $ 141.00 <br /> 1 <br /> I <br /> i <br /> s <br /> E <br /> 4 <br /> f � <br /> I <br /> } <br /> r <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 OES 1 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 /> I <br /> 5254.rN <br />