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SAN JOAQUIN COUNTY <br /> ENVIROF.MENTAL HEALTH DEPARTMI—T Page 1 <br /> 609 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0029006 <br /> Facility ID FA0016482j <br /> Date Printed 7/27/2010 <br /> FETTERS, ALLAN RE : RIPON FARM SERVICE <br /> RIPON FARM SERVICE 932 S HWY 99 E FR RD <br /> 3705 PORTSMOUTH CIRCLE RIPON, CA 95366 <br /> STOCKTON, CA 95219 <br /> OWNER : RIPON FARM SERVICES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0204987---Date of Invoice: 6/24/2010 11111 1111 111111 11111 1111 IN <br /> Hrs Employee <br /> 5/6/2010 2960 310-FIELD CONSULT 3.00 MCCARTNEY $ 345.00 <br /> 5/20/2010 2960 312-CONSULTATION 0.30 MCCARTNEY $ 34.50 <br /> 5/21/2010 2960 312-CONSULTATION 0.30 MCCARTNEY $ 34.50 <br /> Total for this Invoice $ 414.00 <br /> Payment Due Date 7/25/2010 <br /> Invoice# IN0205813---Date of Invoice : 7/27/2010 111111 111 11111 11111 11111 U11 11111 11111 11111 11111 11111 1111 111111 11111 1111 IN <br /> Hrs Employee <br /> 6/15/2010 2960 312-CONSULTATION 0.20 MCCARTNEY $ 23.00 <br /> 6/17/2010 2960 310-FIELD CONSULT 4.50 MCCARTNEY $ 517.50 <br /> Total for this Invoice $ 540.50 <br /> Payment Due Date 8/26/2010 <br /> TOTAL DUE this Billing Period $ 954.50 <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 /> 525a.rpt <br />