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SAN JOACUIN COUNTY j /Z/o p-�/ <br /> ENVIRONMENTAL HEALTH DEPARTMENT G� c�r�' 7yiPage 1 <br /> S � <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0029781 <br /> LMMMMMMMMMA <br /> ------------ <br /> Facility ID FFA0016899 <br /> Date Printed F1/30/2014 <br /> GEORGE BROTHERS RE : GEORGE BROTHERS <br /> 21239 S OLIVE AVE 21239 S OLIVE AVE <br /> RIPON, CA 95366 RIPON, CA 95366 <br /> OWNER : GEORGE BROTHERS <br /> I Date HcaKh <br /> I Program Description Amount <br /> Invoice# IN0249341 ---Date of Invoice: 1/30/2014 II 'III III IIIA VIII VIII VIII VIII VIII VIII VIII III II VIII IIIIII <br /> 1/30/2014 1958 HM-Farm Operations S 18.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 53.00 <br /> Payment Due Date 3/1/2014 <br /> TOTAL DUE this Billing Period $ 53.00 <br /> 1 0 2014 <br /> CNVIHHNMENT HEALTH <br /> PERMIT/SENVICES <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 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br />