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SAN JOAQUIN COUNTY <br /> .r <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0031924 <br /> Facility ID F FA0018154 <br /> Date Printed F 1/30/2014 <br /> C&DFARMS RE : C&DFARMS <br /> 3761 BROOK VALLEY CIR 7000 W RINDGE RD <br /> STOCKTON, CA 95219 STOCKTON, CA 95219 <br /> OWNER : C&DFARMS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0249919---Date of Invoice: 1/30/2014 1111111� 1111111111111111111111111111111 <br /> 1/30/2014 1958 HM-Farm Operations $ 18.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 53.00 <br /> Payment Due Date 31112014 <br /> �cr TOTAL DUE this Billing Period $ 53.00 <br /> V <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 /> icy r[)I <br />