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li <br /> SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> untl� AR0030039 <br /> INVOICE Acco <br /> Facility ID FA0017157 <br /> Date Printed 2/24 0 1 4 <br /> K&.K FARMS RE : K&K FARMS <br /> PO BOX 551 18747 DEVRIES RD <br /> WOODBRIDGE, CA 95258 LODI, CA 95242 <br /> OWNER: K&K FARMS <br /> Health <br /> Date Program'I Description Amount <br /> Invoice# IN0249529--Date of Invoice: 113012014 11111111 111111 III 11111 IIl[�Illi[Illll IIIII Illll IIIII IIIII lilt IIIIll1111I 1[111111 <br /> f <br /> 1/30/2014 1958 HM-Farm Operations $ 18.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 35.00 <br /> Total for this Invoice $ 53.00 <br /> Payment Due Date- 3/1/2014 <br /> :v <br /> TOTAL DUE this Billing Period $ 53.00 <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 /> 5254.rpt <br />