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JAN JUAUUIN L;UUN I T Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTME''; 6a <br /> 600 E MAIN STREET <br /> ' STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> � t <br /> INVOICE AccountlD AR0004516 k <br /> Facility ID �FA0002794 <br /> Date Printed 5/28/2008 <br /> a <br /> ' SHADOW LAKE MOBILE HOME PARK LLC RE : SHADOW LAKE MOBILE HOME PARK LLC it <br /> 820 KAINS AVE#108 5100 N HWY 99 ' r <br /> ALBANY, CA 94706 STOCKTON, CA 95212 i <br /> OWNER : SHADOW LAKE MOBILE HM PRK LLC <br /> Date Health <br /> Program Description __ _ _ _ Amount <br /> Invoice# IN0176491 —Date of Invoice: 512712008 lll�llll�llllllllllllllllllll111111111111111111111111111111111IN1111111111111111111 <br /> 5/27/2008 4242 WASTE WATER TX PLANT $ 470.00 i <br /> Total for this Invoic8 $ 470.00 <br /> t <br /> Payment Due Date 6/27/2006 <br /> TOTAL DUE this Billing Periodl $ 470.00 <br /> I Y <br /> PAG���ED <br /> RE � <br /> 5A11,fOAQUW COUIs I <br /> �t.N4F'tONMENTAL <br /> ��LTy-1 pEPA�SMEI+IT' <br /> 1 <br /> i <br /> s <br /> e <br /> i <br /> E � <br /> s <br /> Please make Checks PAYABLE to: 'EHD' – Return a Copy of This STATEMENT with Your PAYMENT <br /> I <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 /> 5254.rpt ' <br />