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OAN JUHVUH)l l.VU111 I i <br /> ENVIRONMENTAL HEALTH DEPARTM . Page 1 <br /> 3U4 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 COPY <br /> INVOICE Account ID AR0028741 <br /> Facility ID F FA00 6-351 <br /> Lommmmmmmi <br /> Date Printed F 1/26/2007 <br /> MELVIN ROUSH RE : VALLEY VINEYARD & ORCHARD SUPPLY <br /> VALLEY VINEYARD & ORCHARD SUPPLY 420 N SACRAMENTO ST <br /> <br /> <br /> OWNER : ROUSH, MELVIN D <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0158512--Date of Invoice: 1/25/2007 11111111111111111111 IN IIII <br /> 1/25/2007 2220 SM HW GEN <5 TONSNR $ 206.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 230.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Periodi $ 230.00 <br /> RF�MV�D <br /> FEB 12 2oc7 <br /> SAN N iPON COUNT' <br /> HE9LTF{DE 4.R.M NT <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 DES/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 /> 5254.rpt <br />