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5AN JUAI.tUIN U66N I Y Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTME{ " <br /> 600 E MAIN STREET' <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3€20 <br /> INVOICE <br /> N'/rO I C E Account 10 AR0023857 a <br /> V Faciiity ID FA0014109 <br /> Date printed 11/20/2008 <br /> LUMMMEMOMMMOMM <br /> SAXTON, CURTIS RE : HOUSECALLS HOME HEALTH AGENCY <br /> HOUSECALLS HOME HEALTH AGENCY 1250 S WILSON WAY#B <br /> 1050 N UNION ST STOCKTON, CA 95205-7054 <br /> STOCKTON, CA 95205-4118 <br /> OWNER : HOUSECALLS HOME HEALTH AGENCY <br /> Health <br /> D'e3cri iiori 4 ....�... y _. }... .w— ..: mo nu <br /> iti't�. :..:�_ --• 'grogram:- �� - � ...- . <br /> 4 <br /> Invoice# IN0181809 Date of Invoice: 1111912008 111111111111II111111111111111111111111111111111111111111111111111111111111IN <br /> 11/19/2008 4557 MED WASTE LIMITED HAULER $ 77.00 <br /> Total for this Invoice $ 77.00 <br /> Payment Due Date 1212012008 <br /> I I <br /> TOTAL DUE this Billing Periodl $ 77.00 <br /> i <br /> f <br /> 5 ` <br /> W6y:.y.Yyar �.' <br /> Ir <br /> { <br /> f <br /> h. <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 /> k <br /> 5254.rpt <br />