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SAIt;JOAQUI.N COUNTY! ! � <br /> ENVIRONMENTAL HEALTH DEPARTMENT ` Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> I INVOICE Account lb A 0_029680 <br /> Facility M FA0016798 <br /> Date Printed 1/30/2014 <br /> JOHN TONJUM RE : JOHN TONJUM <br /> 20479 CALIFORNIA FARMS RD 20479 CALIFORNIA FARMS RD <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER: JOHN TONJUM <br /> ----- <br /> Program Description <br /> Amount <br /> Invoice# IN0249262—Date of Invoice; 1/3012014 I IIIIIII IIIIIIIIIIIIII IIIIIIIIII IIIII IIIIIIIIIIIIIII IIIII!III111111IIIIIIIII illi <br /> 1/30/2014 1955 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 /> Payment Due Date 3/1/2014 <br /> TOTAL DUE this Billing Period $ 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 />