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SAN JOAf1UIN COUNTY _ <br /> ENVIRONMENTAL HEALTH DEPARTMENT -or Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE AccounllD AR0030273 <br /> Facility ID FA0017391 <br /> Date Printed 1/30/2014 <br /> IMMONEENNEWMINEWE <br /> LAGORIO FARMING CO RE : LAGORIO FARMING CO <br /> 2771 FRENCH CAMP RD 2771 FRENCH CAMP RD <br /> MANTECA, CA 95336 MANTECA, CA 95336 <br /> OWNER : LAGORIO FARMING CO <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0249714•••Date of Invoice: 1130/2014 V I I I III V IVI VI I V III I VII V II I IIIIII IIIIIIIIIIIII <br /> 1/30/2014 1958 HM-Farm Operations S 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 /> _31 rpl <br />