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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTI <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />'T do ; <br />INVOICE <br />Page 1 <br />Account ID AR0000719 <br />Facility ID FA0000720 <br />Date Printed 5/7/2003 <br />MADSEN'S SUNRISE DAIRY RE: MADSEN'S SUNRISE DAIRY <br />239 S STOCKTON ST 239 S STOCKTON ST <br />RIPON, CA 95366 RIPON, CA 95366 <br />OWNER: MADSEN, ROBERT & CAROL <br />Date Health <br />Program Description <br />Amount <br />Invoice # IN0106977 --- Date of Invoice : 5/7/2003 <br />5/7/2003 2220 SM HW GEN <5 TONS/YR <br />$ <br />200.00 <br />Total for this Invoice <br />$ <br />200.00 <br />Payment Due Date <br />6/6/2003 <br />TOTAL DUE this Billing Period <br />$ <br />200.00 <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 OES / 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 />5?55.rpt <br />