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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 4683420 <br />INVOICE <br />BHATIA, GAGANDEEP S <br />PETES RESTAURANT & BREWHOUSE <br />881 LIFESTYLE ST <br />MANTECA, CA 95337 <br />Page 1 <br />Account ID AR0041424'' <br />Facility ID �FA0022630 <br />Date Printed 7/10/2015 <br />RE: PETES RESTAURANT & BREWHOUSE <br />881 LIFESTYLE ST <br />MANTECA, CA 95337 <br />OWNER: SIMARS INVESTMENT GROUP INC <br />Date Health <br />Program Description Amount <br />Invoice # IN0268370 --- Date of Invoice : 7/10/2015 <br />7/10/2015 1921 HMBP-Regular-Primary Location (2015 Billing) <br />7/10/2015 1921 HMBP-Regular-Primary Location (2014 Backbilling) <br />111111/ 111111 111 IIIII IIIII IIIII IIIII IIIII IIIII illll IIIII IIIII IIII 111111 IIIII Till IIII <br />$ 255.00 <br />$ 255.00 <br />Total for this Invoice $ 510.00 <br />Payment Due Date 8/9/2015 <br />TOTAL DUE this Billing Period $ 510.00 <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 HMBP 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 thereaftei <br />5254.rpt <br />