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rayC <br /> HEALTH DEPARTMENT <br /> ,.^LELTON AVENUE <br /> OCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0030193 <br /> INVOICE Facility ID FA0017311 <br /> Date Printed 10/31/2019 <br /> RE : D A FARMS <br /> D A FARMS 18572 S CARROLTON RD <br /> 18572 S CARROLTON RD RIPON, <br /> <br /> OWNER : D A FARMS <br /> Amount <br /> Health <br /> Date Program Description <br /> Invoice# IN0328788---Date of Invoice: 9126/2019 IIIIIIIIIIIIIIIII1IIIIIIIIIIIIIIIII1IIIIIIIIIIIIII1IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIN <br /> 0 <br /> 9/26/2019 1922 CERS Processing Fee $ 22.00 <br /> 49.00 <br /> 9/26/2019 1958 HM-Farm Operations $ 249.00 <br /> 9/26/2019 2220 SM HW GEN<5 TONS/YR $ <br /> 9/26/2019 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br /> Total W this Invoice $ 350.00 <br /> Payment Due Date 10/27/2019 <br /> TOTAL DUE this Billing Period $ 350.00 <br /> Please make Checks PAYABLE to: 'EHD' <br /> Return a Copy of This STATEMENT with Your PAYMENT <br /> For HMBP Fees For all SERVICE FEES <br /> P=Rate <br /> d to all Permit Fees o Penalties will be added at the Rate of 10% <br /> of the Base Fee Penaltie Da is a addee Invd attoice Datehe Rate f 10/0 60 Days after the Invoice Date and each 30 Days thereafterhe Due Date y <br /> 5254.rpt <br />