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SAN JOAQUIN COUNTY �,� <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOIC OPY Account ID —AR-0 22 8811 <br /> Facility ID FA00 66929 <br /> LMMONOMMONMENEN <br /> Date Printed 1/29/2015 <br /> LMMMENEEMEMENEMON <br /> MEEUWSE RANCH RE : MEEUWSE RANCH <br /> 345 ROSE CT 25150 S MOHLER RD <br /> RIPON, CA 95366 RIPON, CA 95366 <br /> OWNER : MEEUWSE RANCH <br /> Date Health - - -- <br /> Program Description Amount <br /> Invoice# IN0262316---Date of Invoice: 1/29/2015 IIIIIIIIIIIVIIVIIVIIVIIIVIII VIIIIIII VIII IIII IIIIIIIIIIIIIII IIII <br /> 1/29/2015 1958 HM-Farm Operations $ 18.00 <br /> 1/29/2015 2399 UNIFIED PROGRAM FAC STATE URC/FEE $ 35.00 <br /> Total for this Invoice $ 53.00 <br /> /'APayment Due Date 212 <br /> C/.//�. <br /> TOTAL DUE this Billing Period $ 53.00 <br /> DqY <br /> R�ecF F'�T <br /> SaM'9�I12F0 <br /> VL Oial'i�C`O` <br /> Please make Checks LE to: 'EHD' — Return a Copy of This STATEMENT with Your P NT <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 />