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SAN JOAQUIN COUNTY .r/ <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> INVOICE AccountlD F AR0020315 <br /> Facility ID FA0012458 <br /> /t.t,,, : V Date Printed 2/1/2013 <br /> Immoommummmmmma <br /> SUTTER HOME WINERY INC <br /> <br /> LODI, CA 95242 <br /> OWNER : SUTTER HOME WINERY INC <br /> Date Health <br /> I Program Descdptien <br /> Amount <br /> Invoice IN0236627---Date of invoice: 2/1/2013 11111 ICI 1111111111 IIIP 1111111411111111111111411 <br /> 2/1/2013 1921 HMBP-Regular-Primary Location $ 690.00 <br /> 2/1/2013 1958 HM-Farm Operations S 18.00 <br /> 2/1/2013 1995 CaIARP FAC STATE SURCHARGE FEE $ 270.00 <br /> 2/1/2013 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice 1 $ 1,013.00 <br /> Payment Due Date ,_-----3/3/2013 <br /> TOTAL DUE this Billing Period $ 1,013.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 7 2013 <br /> SAN JOAQUIN COUNTY <br /> ENVONMENT <br /> HEALTH DEPARTMENT <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 DES/HMMP 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 /> 5_SJ rpt <br />