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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 COPY <br /> s <br /> AccountlD AR0030198 <br /> INVOICE <br /> Facility ID FA0017316 <br /> Date Printed <br /> L BAVA RANCH <br /> PHILIP L BAVA RANCH 18429 S BRENNAN <br /> 1505 DEBORAH CIRCLE ESCALON, CA 95320 <br /> ESCALON, CA 95320 <br /> OWNER : PHILIP L BAVA RANCH <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0328790---Date of Invoice: 9/26/2019 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII 111111111 IIII <br /> 9/26/2019 1922 CERS Processing Fee $ 30.00 <br /> 9/26/2019 1958 HM-Farm Operations $ 22.00 <br /> 9/26/2019 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> Total forthis Invoice $ 101.00 <br /> Payment Due Date 10/27/2019 <br /> C®� N ���� TOTAL DUE this Billing Period $ 101.00 <br /> 0 <br /> � P � <br /> w / <br /> vV � T <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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br />