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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 >` <br />Phone: (209) 468-3420 <br />INVOICE <br />i �3z3 r. 6kw <br />°I 5z3(.a <br />ZOLEZZf' <br />P0B <br />LIy N, CA`S6;36 <br />-•r <br />Page 1 <br />Account ID AR0030144 u <br />Facility ID FA0017262 <br />Date Printed 2/29/2016 <br />RE: M&R ZOLEZZI <br />0 S COMSTOCK 114 MI EAST OF RD <br />LINDEN, CA 95236 <br />OWNER: M&R ZOLEZZI <br />Date Health <br />Program Description A.mcunt <br />Invoice # IN0276211 --- Date of Invoice : 2/2/2016 <br />2/2/2016 1958 HM -Farm Operations <br />2/2/2016 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />04r� Ord OkA� \ Ax, � <br />1 1111111 111111 III VIII VIII IIID VIII VIII VIII VIII IIIII IIII 111111 VIII IIII IIII <br />$ 18.00 <br />$ 35.00 <br />r Totai for this Invoice $ 53.00 <br />Payment Due Date 3/3/2016 <br />TOTAL DUE this Billing Period $ 53.00 <br />PAYMENT <br />RECEIVED <br />MAR '2 12016 <br />...AQUrH COUNTY <br />ENVIRONMENTAL <br />HEALTH DEPmTNEWT <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 />