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..-�+�.+..v�a�ivcai��+=:iccw'wuk.ViL{i3:-=d�AkF'viw.vb:.,3yiahv_�ilv=tip._a 1l �S�.vu=iv.tivv�i.1 1- va\V F _ <br /> •a -' __X__ '_.a ��T}]aY�u1k"4tiga111X(:niCi1'_i _ .vvsicc:�: <br /> r v <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0030191 <br /> Facility ID FA0 117309 <br /> Date Printed F 1/30/2014 <br /> COOPER OUT WEST RE : COOPER OUT WEST <br /> 18636 E MILTON RD 19180 HARROLD <br /> LINDEN,CA 95236 ESCALON, CA 95320 <br /> OWNER : COOPER OUT WEST <br /> Date Health <br /> Program Description Amount <br /> Invoice# IND249664—Date of Invoice: 1/30/2014 (II IIIIIIII(IIII IIII IIIIIIIIII IIIIIIIIII VIII IIIIIIIIII IIII IIIIII VIII IIII IIII <br /> 1/30/2014 1958 HM-Farm Operations $ 18.00 <br /> 1/30/2014 2220 SM HW GEN<5 TONSNR $ 213.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total forth is Invoice $ 266.00 <br /> Payment Due Date 3/1/2014 <br /> TOTAL DUE this Billing Period $ 266.00 <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 />