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ENVIRONMENTAL HEALTH DEPARTMr'-'T Page 1 <br /> 600 E MAIN STREET D <br /> STOCKTON, CA 95202 J 1 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0031217 <br /> Facility ID FA0017846 <br /> Date Printed 7/1/2008 <br /> NICHOLS, BRAYDON RE : VICTORIA ISLAND FARMS <br /> VICTORIA ISLAND FARMS 21000 W HWY 4 <br /> PO BOX 87 HOLT, CA 95234 <br /> HOLT, CA 95234 <br /> OWNER : VICTORIA ISLAND FARMS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0175080---Date of Invoice: 4/17/2008 11111 11111 11111 11111 11111 IN 111111 11111 1111 1111 <br /> Hrs Employee <br /> 4/9/2008 2950 312-CONSULTATION 0.50 DUNCAN $ 49.00 <br /> 4/17/2008 9999 PAYMENT ($ 294.00) <br /> 5/7/2008 2990 312-CONSULTATION 1.00 DUNCAN $ 98.00 <br /> 5/7/2008 2950 312-CONSULTATION 0.50 DUNCAN $ 49.00 <br /> 5/15/2008 2950 310-FIELD CONSULT 1.50 DUNCAN $ 147.00 <br /> 5/16/2008 2950 310-FIELD CONSULT 2.00 DUNCAN $ 196.00 <br /> Total for this Invoice $ 245.00 <br /> Payment Due Date 7/26/2008 <br /> TOTAL DUE this Billing Period $ 245.00 <br /> C <br /> RECD VED <br /> "'JL3 <br /> sq <br /> N,JOq <br /> ENV7R p VAMR COUN <br /> HEgCTH HEP <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')54 rnt <br />