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SAN JOAQUIN COUNTY ... Page 1 <br /> EfNVik6NMENTAL HEALTH DEPARTIONT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOIC COPY Amount ID AR0034625 <br /> Facility ID FA0019475 <br /> Date Printed F 1/29/2015 <br /> IMMMMENEWMENEEMEA <br /> S PELLEGRI & SONS RE : S PELLEGRI & SONS <br /> 8074 W DELTA RD 21606 EL RANCHO <br /> TRACY, CA 95304 TRACY, CA 95304 <br /> OWNER : S PELLEGRI & SONS <br /> Date - Health — <br /> . - - - <br /> Program Description Amount <br /> Invoice# IN0263020---Date of Invoice: 1/29/2015 IIIIIIIIIIIVIIIIIIIIIV VIIIIIIVIIIIIIIIIIIIIIIIIIII IIII <br /> 1/29/2015 1958 HM-Farm Operations $ 18.00 <br /> 1/29/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 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 /> FEB 2 0 2015 <br /> ENPE lml,/ EHVICESN <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.ipt <br />