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k SAN JOAQUIN COUNTY Page 1 <br /> ENVIP&ONM�NTAL HEALTH DEPARTMENT <br /> i 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br />'Y INVOICE Account ID AR0039786 <br /> Facility ID FA0021847 <br /> Date Printed 2/28/2014 <br /> DENA JIMENA RE : ADVANCED HOSPICE INC <br /> ADVANCED HOSPICE INC 4370 AUBURN BLVD <br /> 4370 AUBURN BLVD SACRAMENTO, CA 95841 <br /> SACRAMENTO, CA 95841 <br /> OWNER : ADVANCED HOSPICE INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0245215--Date of Invoice: 11/19/2013 IIIIiI EIIIIIIIII�Illllf�l�IIIIIII�IIIIIIIII�IIIIIIIIIIIII1III11IIIIIIIEIlIIIN <br /> 11/19/2013 4557 MED WASTE LIMITED HAULER $ 77.00 <br /> Total for this Invoice $ 77.00 <br /> PAST DUE! PAST DUE <br /> WE WOULD APPRECIATE YOUR TOTAL_DUE this Billing Period $ 77.00 <br /> PAYMENT TODAYI <br /> I <br /> l <br /> t <br /> F ' <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 HMBP 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 y <br />