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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0033238 <br /> Facility ID FA0018722 <br /> Date Printed 6/28/2011 <br /> A SAMBADO& SON INC RE : S C RANCH 39-425 <br /> S C RANCH 39-425 17421 E COMSTOCK RD <br /> 8077 N TULLY RD LINDEN, CA 95236 <br /> LINDEN, CA 95236 <br /> OWNER : SAMBADO, LAWRENCE J & BEVERLY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0217204---Date of Invoice: 5/25/2011 I IIIIIII IIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIIIII IIIII IIII IIII <br /> Hrs Employee <br /> 4/13/2011 2765 R28-OCCUPANCY RE-INSPECTION 0.60 VELOSO-CACAPIT $ 73.20 <br /> Total for this Invoice $ 73.20 <br /> Payment Due Date 6/25/2011 <br /> TOTAL DUE this Billing Period $ 73.20 <br /> pp' p <br /> REC, <br /> JUN 7 �, '►1 <br /> HEALTH <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 /> 5254.rpt <br />