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JAIVJVAQUINCOUNTY ` <br /> ENVIRONI ,NTAL HEALTH DEPARTME'`' <br /> 600 E-1,',4MIN STREET E �+ Page 1 <br /> 1 STOCKTON, CA 95202 �J <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0000062 <br /> i - <br /> I Facility ID FA0000063 , <br /> Date Printed` 5/24/2067 <br /> I <br /> LA CUMBRE MANAGEMENT CO RE : COUNTRY MANOR MHP <br /> COUNTRY MANOR MHP 17251 N TRETHEWAY RD <br /> 100 N HOPE AVE STE#1 - LOCKEFORD, CA 95237 <br /> SANTA BARBARA, CA 93110 <br /> OWNER : SEGAL FAMILY TRUST DTD 2113192 <br /> Date Health <br /> Program Description <br /> Amo�u nt <br /> t, invoice# 140162097---Date of Invoice: 5123!2007 <br /> 5!2312007 4242 WASTE WATER TX PLANT �IIIIIfIIIIfIIflflllllll11111IIIIIIN 0111111118��NIllf 111111 M111111111111111111111 <br /> 5/23/2007 4642 25-99 SERVICE CONNECTIONS(CWS)W/TX $ 470.00 <br /> i r $ 491.60 <br /> Total for this Invoice $ 961.00 <br /> 1 <br /> Payment Due Date 6/23/2007 <br /> TOTAL DUE this Billing Period $ 961.00 <br /> i <br /> PAYM�N� l <br /> Fk E� <br /> JUN <br /> 0 7 ZOW <br /> SAN JOAQUM COUNTY <br /> ENVIRONMENTAl- <br /> HEALTH DEPART ENT <br /> J <br /> i, <br /> ,F <br /> i. <br /> RECEIVED MAY 2 9 2007 <br /> \Pleasmake Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> IL <br /> Penalties will be added It,II Perm: it 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.rpt <br />