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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 /> Account ID AR0030171 <br /> INVOICE <br /> Facility ID FA0017289 <br /> Date Printed 3/29/2016 <br /> YOCUM RANCH RE : YOCUM RANCH <br /> PO BOX 674 9955 N SHELTON RD <br /> LINDEN, CA 95236 LINDEN, CA 95236 <br /> OWNER : YOCUM RANCH <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0276232—Date of Invoice: 2/212016 IIIIIIIIIIIIIIIIIIIIIIIIIIVIIIIIIIIIIIIIIIVIIIVIIIIIIIIIII VIII IIII IIII <br /> 2/2/2016 1958 HM-Farm Operations $ 18.00 <br /> 2/2/2016 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 53.00 <br /> Payment Due Date 3/3/2016 <br /> 1>1a L) t')4 F �D TOTAL DUE this Billing Period $ 53.00 <br /> yopDl T4ro"1 pool <br /> 06.1nq'j'-'xVj3TdeCj to <br /> 10 <br /> Tel <br /> 1.c�, I.✓LA' '' h+�r� <br /> Please make Checks PAYABLE to: 'EHD' — Retum 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 /> 5254.rpt <br />