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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STO'CKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> COPY AR0029560 <br /> Account ID <br /> INVOICE <br /> Facility ID FA0016678 <br /> Date Printed 10/31/2017 <br /> OLSON RANCH RE : OLSON RANCH <br /> <br /> CLEMENTS, CA 95227 <br /> OWNER : OLSON RANCH <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0299151 --Date of Invoice: 9/26/2017 IIIIIIi 111111111 111 <br /> 9/26/2017 1922 CERS Processing Fee $ 25.00 <br /> 9/26/2017 1958 HM-Farm Operations $ 22.00 <br /> 9/26/2017 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> Total For this Invoice $ 96.00 <br /> Payment Due Date 10129/207 <br /> TOTAL DUE this Billing Period <br /> �otrress � � <br /> 8i i,t ; ex �arrrS <br /> PPYM vED <br /> 900 SO * �D <br /> RECE- <br /> t�Ov /� <br /> SN`IN �pODUNEPNE1 MENT Ne me**S o • <br /> H <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 />