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SAN JOAQUIN COUNTY <br /> Page 1 <br /> ENVIRCrNMEN-FAL HEALTH DEPARTMI <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> AMENDED AccountID ARQ041095 <br /> INVOICE <br /> Facility ID FA0022452 <br /> Date Printed 2/1312015 <br /> MICHAEL CORRADI RE : CORRADI FARMS - BURGE ROAD <br /> CORRADI FARMS - BURGE ROAD 3800 BURGE RD <br /> 3846 BURGE ROAD STOCKTON, CA 95215 <br /> STOCKTON, CA 95215 <br /> OWNER : MICHAEL CORRADI <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0263406---Date of Invoice : 1/2912015 IIIII I IIIfILI VIII VIII IIIII ILII III`!FIJI IIIII IIIII II1!IIIII IIIII III!IN <br /> 1129/2015 1920 HMBP-Common Materials $ 85.00 <br /> 1129/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> 2/13/2015 1958 HM-Farm Operations $ 18.00 <br /> 2/15/2015 9997 CORRECTION TO A CHARGE ($ 85.00) <br /> Total for this invoice $ 53.00 <br /> Payment Due Date 2/28/2015 <br /> TOTAL DUE this Billing Period $ 53 000 <br /> \L� <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 /> ,2,4.r:1 <br />