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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0030433 <br /> Facility ID FA0017551 <br /> Date Printed 1/30/ <br /> REID ROBERTS RE : REID ROBERTS <br /> 311 E MAIN #202 8001 N CLEMENTS RD <br /> STOCKTON, CA 95202 LINDEN, CA 95236 <br /> OWNER : REID ROBERTS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0249834---Date of Invoice: 1/30/2014 1111111 111111 E 11111�1111 11111�111 11111 11111 11111 141 1111 111111 11111 1111 IN <br /> 1/30/2014 1958 HM-Farm Operations S 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 />