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SAN JC'AQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />INVOICE <br />J DELCARLO FARMS <br />835 W MARIPOSA AVE <br />STOCKTON, CA 95204 <br />D vm <br />I-EB 19 2014 <br />EN EH <br />PEFiP110fNIIiE LT[j <br />WISERVICES <br />Page 1 <br />Account ID <br />I AR0029869 <br />Facility IDFA0016987 <br />213.00 <br />Date Printed <br />1 1/30/2014 <br />RE: J DELCARLO FARMS <br />11751 S WING LEVEE RD <br />STOCKTON, CA 95206 <br />OWNER: J DELCARLO FARMS <br />Date idealtii i <br />Program Description Amount <br />Invoice # IN0249406 --- Date of Invoice : 1/30/2014 <br />1/30/2014 1958 HM -Farm Operations <br />1/30/2014 2220 SM HW GEN <5 TONSNR <br />1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />As <br />Au� zo i 3 <br />Torw�- +kl-s ry-(JPP-/t I <br />1II1I11I1I11I III VIII VIII VIII VIII VIII VIII VIIIVIII 111111111111111 <br />$ <br />11111 IIII IIII <br />18.00 <br />$ <br />213.00 <br />$ <br />35.00 <br />Total for this Invoice <br />$ <br />266.00 <br />Payment Due Date <br />3/1/2014 <br />$ <br />266.00 <br />TOTAL DUE this Billing Period <br />lnJ e n/o ,fir &^/rj e v- <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 thereafte <br />i? i4 rpt <br />