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SAN JOAOUIN COUNTY it.JAL <br /> ENVIRONMENTAL HPALTH DEPARTMENT page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Awount10 ARoo05527 <br /> Facility ID FA0005082 <br /> Date Printed 1/3012014 <br /> COOPER OUT WEST RE : COOPER OUT WEST <br /> 18636 E MILTON RD. 29756 E ORANGE AVE <br /> LINDEN, CA 95236 ESCALON, CA 95320 <br /> OWNER COOPER OUT WEST <br /> Date _Fle'attt` <br /> Program Description Amount <br /> Invoice# iN0247554—Date of Invoice: 1/30/2014 I1111111IIIIIIIII IlllilllllIIIII IIIII IIIII IIIII Illlllllll III!11111111111liIIIIII <br /> 1/30/2014 1958 HM-Farm Operations $ 16.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Involce $ $3.00 <br /> yPayment Due Date 31112014 <br /> TOTAL DUE this Billing Periodl 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 /> 5254.rpt <br />