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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420' <br /> 14VOICE AccountlD AR0030284 <br /> Facility ID FA0017402 <br /> Date Printed 1/30/2014 <br /> k CHARLES S COX FARMS RE : CHARLES S COX FARMS <br /> PO BOX 1381 0 HWY 33 AT HWY 132 <br /> PATTERSON, CA 95363 VERNALIS,CA 95385 <br />` <br /> OWNER: CHARLES S COX FARMS <br /> Health Amount <br />? Date Program Description <br /> Invoice# IN0249723--=Date of Invoice: 113012014 I IIIIIII HIT 11111111111111111111111111111111111111111[11111111111111111111 IN <br /> 113012014 1958 HM-Farm Operations $ 18.00 <br /> 1 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 53.00 <br /> f <br /> Payment Due Date 31112014 <br />} <br /> TOTAL DUE this Billing Period $ 53.00 <br /> D nn <br /> U <br /> FEBI8 <br />�' ENVI 2014 <br /> "IC6 <br /> r <br /> k <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 /> r ' <br />