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-')AN JUAWUIN t:UUN I T <br /> ENVIRONW `JTAL HEALTH DEPARTIV`T Page 1 <br /> 600 E MAkATREET <br /> STOCKTON, CA 95202 COPY_ <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0000031 <br /> Facility lD FA0000031 <br /> Date Printed 4/24/2009 <br /> A SAMBADO& SON RE : LINDEN ORCHARDS 39-54 <br /> LINDEN ORCHARDS 39-54 21100 E FRAZIER RD <br /> 8077 N TULLY RD LINDEN, CA 95236 <br /> LINDEN, CA 95236 <br /> OWNER : BOGGIANO FAMILY INTEREST <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0188872---Date of Invoice: 4/23/2009 I IIIIIII IIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIIIII IIIII IIII IIII <br /> Hrs Employee <br /> 3/5/2009 2765 R28-OCCUPANCY RE-INSPECTION 1.00 WIESEMAN $ 105.00 <br /> Total for this Invoicel $ 105.00 <br /> Payment Due Date 5/24/2009 <br /> TOTAL DUE this Billing Period $ 105.00 <br /> PAYMENT <br /> RECEIVED <br /> MAY 4 Z009 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 />