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SAN JOAOI[g, BOUNTY <br /> ENVL'-'ONM€NTAL HEALTH DEPARTN T Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 r C, <br /> Phone: (209) 468-3420 J� Q9�--T N C7 L" J�n s� <br /> INVOICE � , � Account ID FAR0041096 <br /> VSA (2 ,�tz�aaso� <br /> Facility ID F FA0022453 <br /> I/VZ .4Te0- <br /> S tv2.9InL /�Raloommmommoommmom <br /> DatePrintetl 1/29/2015 <br /> J & J SHINN RANCH RE : J & J SHINN RANCH SHOP <br /> J & J SHINN RANCH SHOP \ 21500 N DAVIS RD <br /> P.O. BOX 1051 LODI, CA 95242 <br /> WOODBRIDGE, CA 95258 _ <br /> V� 0�� OWNER : BILL SHINN <br /> Date _ Health <br /> -Prcy am Desrrintinn Amount <br /> Invoice# IN0263407---Date of Invoice: 112912015 11111111HIT 111111111111111111111111111llME111111111111NIP111111111 <br /> 1/29/2015 1958 HM-Farm Operations $ 18.00 <br /> 1/29/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 35.00 <br /> Total for this Invoice $ 53.00 <br /> Payment Due Date 2/28/2015 <br /> TOTAL DUE this Billing Period $ 53.00 <br /> D <br /> 0 <br /> 9 2015 <br /> MAR p�SH <br /> EN��RM��SEN��E5 <br /> A <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 /> _3.I rI'l <br />