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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTME <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0002958 <br /> Facility ID FA0003381 <br /> Date Printed 11/22/2010 <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 <br /> Amount <br /> Invoice# IN0209357---Date of Invoice: 11/19/2010 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> Hrs Employee <br /> 10/27/2010 2765 335-REINSPECTION(actual time) 1.00 WIESEMAN $ 122.00 <br /> Total for this Invoice $ 122.00 <br /> Payment Due Date 12/22/2010 <br /> TOTAL DUE this Billing Period $ 122.00 <br /> PAY IVI E NT <br /> RECEIVED <br /> DEC 0 8 2010 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <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 DES!HMMP 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 /> >1 rrl <br />