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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />INVOICE <br />EC WATTS <br />17036 N LOCUST TREE RD <br />LODI, CA 95240 <br />Page 1 <br />Account ID <br />AR0029915 <br />Facility ID <br />FA0017033 <br />Date Printed <br />9/27/2018 <br />RE: EC WATTS <br />17010 N LOCUST TREE RD <br />LODI, CA 95240 <br />OWNER: EC WATTS <br />Date Health <br />Program Description Amount <br />Invoice # IN0314902 --- Date of Invoice : 9/26/2018 <br />9/26/2018 1922 CERS Processing Fee <br />9/26/2018 1958 HM -Farm Operations <br />9/26/2018 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />ll11111IIlllIIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIVIII111111111111111VIIIININ <br />$ <br />30.00 <br />$ <br />22.00 <br />$ <br />49.00 <br />Total for this Invoice <br />$ <br />101.00 <br />Payment Due Date <br />10/27/2018 <br />$ <br />101.00 <br />TOTAL DUE this Billing Period <br />Q\ucr� mkQ 'w� co o& ao�B <br />QVoV-Q'-r VVj K'�.o bei,-, <br />SV) It V <br />14q Gocns <br />PAYMENT <br />RECEIVED <br />OCT 15 2018 <br />SAN JOAQUIN COUNTY <br />ENVIRONNIENTAL <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 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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br />