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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF"T Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0031217 <br /> Facility ID FA0017846 <br /> Date Printed 1/23/2009 <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# IN0182655---Date of Invoice: 11/19/2008 111111E 1111 E 11111 11111 11111 11111 111 111 111E 11111 11E 1111 1111 1111�1111 IN <br /> Hrs Employee <br /> 10/6/2008 2950 312-CONSULTATION 0.50 DUNCAN $ 52.50 <br /> 10/13/2008 2950 310-FIELD CONSULT 3.00 DUNCAN $ 315.00 <br /> 10/31/2008 2950 310-FIELD CONSULT 2.00 DUNCAN $ 210.00 <br /> Total for this Invoice $ 577.50 <br /> Payment Due Date 12/20/2008 <br /> TOTAL DUE this Billing Period $ 577.50 <br /> REC MEN r <br /> VED <br /> SAN <br /> 2 2 2009 <br /> H �N R N IN COON <br /> ry <br /> ALT H OCp4R MENT <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 /> �3�d rpt <br />