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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM'.- <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0030039 <br /> Facility ID FA0017157 <br /> Date Pnnted 2/24/2014 <br /> LOMMENEEMEMMMIll <br /> K&KFARMS RE : K&KFARMS <br /> PO BOX 551 18747 DEVRIES RD <br /> WOODBRIDGE, CA 95258 LODI, CA 95242 <br /> OWNER : K&K FARMS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0249529--Date of Invoice: 1/30/2014 I IIIII(IIIII III IIIII VIII VIII IIIII IIIII IIIII IIIII IIIII IIII 111111111 IIII IIII <br /> 1/30/2014 1958 HM-Farm Operations $ 18.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 53.00 <br /> Payment Due Date 3/1/2014 <br /> TOTAL DUE this Billing Period $ 53.00 <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 /> 5254.rpt <br />