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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 /> INVOICE Accountlp AR0030 111 <br /> Facility ID F FA00 77329 <br /> Date Printed 1/30/2014 <br /> FRANK N VILLINES RE : FRANK N VILLINES <br /> 9805 BLACK OAK 20354 SANTA FE <br /> OAKDALE, CA 95361 ESCALON, CA 95361 <br /> OWNER : FRANK N VILLINES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0249665---Date of Invoice: 1/30/2014 IVIIII III VIII VIIVIIVI VIIIIIIVIII IIIIII VIIIIIIIIIII <br /> 1/30/2014 1958 HM-Farm Operations S 18.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 35.00 <br /> Total for this Invoice $ 53.00 <br /> Payment Due Date 3/1/2014 <br /> TOTAL DUE this Billing Period $ 53.00 <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 /> 1.4 rpt <br />