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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME'�F- = Page 1 <br /> 304 E WEBER AVE-3RD FLOOR " <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0002588 <br /> Facility ID FA0003025 <br /> Date Printed 6/27/2005 <br /> ST FRANCIS YACHT CLUB RE : ST FRANCIS YACHT CLUB <br /> 700 MARINA BLVD/MARINA YACHT H 14344 TINSLEY ISLAND RIVER RTE <br /> SAN FRANCISCO,CA 94123 STOCKTON, CA 95209 <br /> OWNER : ST FRANCIS YACHT CLUB <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0133286—Date of Invoice: 5!2312005 I IIIIII�IIIIII Ili Ilf 11 VIII VIII IiIII III1I lilll lull VIII If III IIII Illlll IIIf I Ililllll <br /> 5123!2005 4242 WASTE WATER TX PLANT I III I I li lilll 1$If ! I! 1470.10f10 <br /> 5/23/2005 4634 TNC WATER SYSTEM(ORTLY) $ 363.00 <br /> Total for this Invoice $ /833.00 1 <br /> Payment Due Date 612412006) <br /> TOTAL DUE this Billing Period $ 833.00 <br /> NO'S . <br /> PAYMENT <br /> RECEIVED <br /> SUN 2 7 2005 <br /> SAN 30A0N4N Gout TY <br /> ENVlROi`jMCNTAL <br /> T <br /> VJEALTH 43EFARTMEN <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!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 /> ter <br />