Laserfiche WebLink
SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTNOT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE AcountlD AR0002137 <br /> LUMMOMMOOMMEMOM <br /> Facility ID FA000 3369 <br /> VM1�,(,r,� Date Printed 10/1/2014 <br /> 7-ELEVEN INC. U RE : 7-ELEVEN INC. STORE#21756 <br /> ATTN: <br /> <br /> <br /> OWNER : 7-ELEVEN INC. <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0256452---Date of Invoice: 10/1/2014 IIIIIIIIIIIIIIIIIIVIIVIIVIIVIIVIIVIVIIIIIII VIII IIII IIII <br /> 10/1/2014 1921 HMBP-Regular-Primary Location $ 270.00 <br /> Total for this Invoice $ 270.00 <br /> Payment Due Date 10/31/2014 <br /> TOTAL DUE this Billing Period T <br /> RECEIVED <br /> OCT 21 2014 RECEIVED 1/ T I' <br /> SAENVIRONMENTAN" OCT <br /> C I O 9 2014 <br /> LICENSE DEPT. <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 thereafter <br /> 5254.rpt <br />