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AN COUNTY <br /> MENTAL HEALTH DEPARTMENT / q Page 1 <br /> rAZELTON AVENUE <br /> .TON, CA 95205 <br /> ,e: (209) 468-3420 <br /> AMENDED <br /> / INVOICE <br /> Account ID AR0006598 <br /> /j �G i r p Facility ID FA0005802 <br /> '4Vl`L �j Pacific- if �(c1j"}r� l�.afxj`->' 10 c - Date Printed 2/x/2015 <br /> ' � Nor-H) Fertz, <br /> AlaRE : <br /> ABERI E AGREEING 8 <br /> 19750 N LOWER SACRAMENTO RD <br /> PG BOX ACAMPO, CA 95220 <br /> 268 <br /> OWNER : ABERLE ACRES INC <br /> Date Health <br /> Program Descrlpticn <br /> Amount <br /> Invoice# IN0260598---Date of Invoice: 1/29/2015 1111///1111//1111111/1111111111 REITI1IIII111111111111111IN1111111111111111111 <br /> 1/29/2015 1958 HM-Farm Operations $ 18.00, <br /> 1/29/2015 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/29/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total forth is l nvoice $ 266.00 <br /> F Payment Due Date 2/28/2015 <br /> Invoice# IN0263882---Dateoflnvoice: 2/5/2015 V � '`'`{ I' ll ll' VIII VIII VIII VIII VIII VIII '' Ill 1111 1111//VIII I'll 1111 <br /> 2/5/2015 APSA APSA SURCHARGE 1 $ 26.00 <br /> Total for this Invoice $ 26.00 <br /> \ ( S Payment Due Date 3/8/2015 <br /> °l3 TOTAL DUE this Billing Period $ 292.00 <br /> clo LD <br /> PAYMENT <br /> RECEIVED <br /> MAR p 2 2015 <br /> 2e SAN JOAQUIN COUNTY <br /> Inc ' \ "LL ENVIRONMENTAL <br /> !82 W L HEALTH DEPARTMENT <br /> :R; <br /> LL <br /> \PF �\\ <br /> troI <br /> Nat <br /> >ayi <br /> tEh <br /> ;0101 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 HMed Fees <br /> For all SERVICE FEES <br /> Penalties will he added at the Rate of 10% <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% 60 Days after the Invoice Date and each 30 Days thereafte <br /> 30 Days after the Due Date 45 Days after the Invoice Date Y <br />