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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 />INVOICE <br />EC WATTS <br />17010 N LOCUST TREE RD <br />LODI, CA 95240 <br />Account ID AR0029915 <br />Facility ID I FA0017033 <br />Date Printed 1 1/30/2014 <br />RE: EC WATTS <br />17010 N LOCUST TREE RD <br />LODI, CA 95240 <br />OWNER: EC WATTS <br />Date Health <br />Program Description <br />Amount <br />Invoice # IN0249440 --- Date of Invoice : 1/30/2014 <br />111111111 IN <br />1/30/2014 1958 HM -Farm Operations <br />$ <br />18.00 <br />1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />$ <br />35.00 <br />Total for this Invoice <br />$ <br />53.00 <br />Payment Due Date <br />3/1/2014 <br />$ <br />53.00 <br />TOTAL DUE this Billing Period <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 />