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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HP:ELTON AVENUE <br /> STOr:.KTON, CA 9 <br /> <br /> Account ID AR0030055 <br /> INVOICE <br /> Facility ID FA0017173 <br /> Date Printed 9/27/2018 <br /> PRUDHEL ESTATES INC RE : PRUDHEL ESTATES INC <br /> 18133 N DEVRIES RD 18133 N DE VRIES RD <br /> LODI, CA 95242 LODI, CA 95242 <br /> OWNER : PAT OR CRAIG PRUDHEL <br /> Date Health <br /> Program Description rvnount <br /> Invoice# IN0315002---Date of Invoice: 9/26/2018 �1111 1111 H 11111�11 111 Hi�1111�11111 1111�1$H�i 1111 11E1 1111�1111111 <br /> 9/26/2018 1922 CERS Processing Fee S 30.00 <br /> 9/26/2018 1958 HM-Farm Operations S 22.00 <br /> 9/26/2018 2220 SM HW GEN<5 TONS/YR S 249.00 <br /> 9/26/2018 2399 UNIFIED PROGRAM FAC STATE SURCHAR /Ej <br /> S 49.00 <br /> /� Total for this Invoice $ 350.00 <br /> Payment Due Date 10/27/2018 <br /> J � <br /> TOTAL DUE this Billing Period $/ 350.00 <br /> �Y D <br /> PAYMENT <br /> RECEIVED <br /> I" NOV 0 5 2018 <br /> SANN COUNTY <br /> ENVIRVVIR ONNMENTAL <br /> HEALTH DEPARTMENT <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 /> �' -}.rpt <br />