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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 Account ID AR0002958 <br /> Facility ID FA0003381 <br /> Date Printed 1/30/2014 <br /> TEIXEIRA, MANUEL & ROSA RE : TEIXEIRA, MANUEL DAIRY#1 (39-333) <br /> TEIXEIRA, MANUEL DAIRY#1 (39-333) 11493 N DAVIS RD <br /> 11401 N DAVIS RD LODI, CA 95242 <br /> LODI, CA 95242 <br /> OWNER : TEIXEIRA, MANUEL& ROSA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0242375—Date of Invoice: 7/24/2013 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII IIIII IIII IIIIII IIIII IIII IIII <br /> Hrs Employee <br /> 6/10/2013 2765 330-SAMPLING 0.80 VELOSO-CACAPIT S 100.00 <br /> 10/15/2013 9988 SERVICE CHARGE PENALTY S 10.00 <br /> 11/15/2013 9988 SERVICE CHARGE PENALTY S 10.00 <br /> 12/15/2013 9988 SERVICE CHARGE PENALTY $ 10.00 <br /> Total for this Involce $ 130.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 130.00 <br /> PA <br /> 10T DUE. <br /> WE WOULD 1;.PPRECIA7C YOUil <br /> RAYMENT 70001 F-�ST DUE <br /> Delinquent charges <br /> will be forwarded to <br /> COLLEC`T`ION$ <br /> in K days. <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 l=ee 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 />