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- <br /> SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phase: (209)468-3420 COPS YT <br /> _ INVOIC � � A� .A <br /> ountlD R00302a4 <br /> Facility ID FA0017402 <br /> Date Printed' 1/30/2014 <br /> 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 /> OWNER: CHARLES S COX FARMS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0249723---Date of Invoice: 113012014 Illlllllllllll IIIIIIIIIIIII llllllllllllllllllllllllllllllllll illi!!Illllllllllll <br /> 1130/2014 1958 HM-Farm Operations $ 18.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 53.00 <br /> i <br /> Payment Due Date 3/112014 <br /> TOTAL DUE this Billing Poriodl 53.00 <br /> I . <br /> 1 <br /> i - <br /> E - <br /> i <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 HM BP 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 /> j 5254.rpt <br />