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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID ARm0m4655 <br /> <br /> <br /> <br /> o <br /> GERA, MARKO RE : FRIENDLY VILLAGE MHP <br /> FRIENDLY VILLAGE MHP 8600 N WEST LN <br /> 105 FITS rl,.,.___o__Zrl F it M STOCKTON,CA 95210 <br /> SACRAMENTO, CA 95827 <br /> 3CD9'o --e_ �r �p3 OWNER : GERA, MARKO <br /> Date IN <br /> Program esuiption Amount <br /> Invoice# IN0361461 —Date of Invoice: 10126/2021 111111111111111111111IIN 111111111111111111111111111111111111111111h111111INIIII <br /> 10/26/2021 3611 PUBLIC POOUSPA-PRIMARY PR0360047 $ 283.00 <br /> 10/26/2021 3612 PUBLIC POOUSPA-ADDITIONAL PR0360209 $ 141.00 <br /> 10/26/2021 3612 PUBLIC POOL/SPA-ADDITIONAL PR0360208 $ 141.00 <br /> Total for this Invoice $ 0 <br /> 11/30I2021 <br /> TOTAL DUE this Billing Period b 565.00 <br /> PAYMENT <br /> RECEIVED <br /> NOV 01 2021 <br /> 0 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> 1, y Would you like Invoices electronically or need to update the email address fo ccoun the <br /> v� form below with the information with up to 2 email addresses: <br /> Email 1 <br /> Email 2 <br /> Please make Checks PAYABLE to: 'EHD'or <br /> Pay online at: 'httus://www.sinov.orddenartment/envhealth/online-oavment' <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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafte <br /> 5254.rpt End of report <br />