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ENVIRONMENTAL HEALTH DEPARTME"'--T <br /> 600 E MAIN STREET J Page 1 <br /> E STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID ARaoaasoo <br /> i Facility ID FA0000903 <br /> Date Printed fi/$/2007 <br /> s <br /> k <br /> EAVENSON, WILLIAM & BEVERLY RE : STOCKTON I LODI RV PARK <br /> STOCKTON/LODI RV PARK 2851 E EIGHT MILE RD <br /> 17881 GLENWOOD DR LODI, CA 95240 <br /> MANTECA, CA 95336 <br /> f <br /> OWNER : EAVENSON,WM & BEV ETAL <br /> Date Health <br /> Program Description <br /> Amount <br /> f Invoice# IIY0162271 —Date of Invoice: 5!2312007 I�llllll lllllllll�lllllllllllll�lllll ll�ll Illlllllllllllllllll lllllllllllll <br /> 5/23/2007 1617 RETAIL MARKET>1000 SQ FT W 1 FOOD PREP $ 200.00 <br /> 5/23/2007 4242 WASTE WATER TX PLANT <br /> F 5/23/2007 4621 15-24 SERVICE CONNECTIONS(CWS) $ 470.00$ 307.00 <br /> 6/6/2007 9999 PAYMENT ($ 977.00) <br /> 1_ Total for this Involce $ 0.00 I <br /> Payment Due Date 6/23/2007 <br /> TOTAL DUE this Billing Period $ 0.00 <br /> a <br /> i <br /> E. <br /> I <br /> f <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 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 /> 5254.rpt <br />