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SAN JOAQUIN COUNTY �lr <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 ������� FEB 2 1014 <br /> INVOICE Account lD AR0038125 <br /> Facility lD FTFA0021140 <br /> Date Printed 1130/2014 <br /> CYCLES GLADIATOR WINERY RE : CYCLES GLADIATOR WINERY <br /> PO BOX 40 3750 E WOODBRIDGE RD <br /> ACAMPO,CA 95220-0040 ACAMPO,CA 85220 <br /> OWNER : SMITH& HOOK WINERY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0250324--Date of Invoice: 113012014 IIIIIII�IIIIIIIII u�I VIII III'IMII II�I'�I III�I�II�IIIIin��i IIII III <br /> 1130/2014 1921 HMBP-Regular-Primary Location $ 270.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this involce $ 305.00 <br /> Payment Due Date 31112014 <br /> TOTAL DUE this Billing Periodl $ 305.00 <br /> 0 <br /> D <br /> MAR g l 2014 <br /> ENpERM�M�s NV1 ESH i <br /> Please make Checks PAYABLE to: 'EHO' — 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 Rale 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 /> 5254rpt <br />