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SAN JOAQUIN COUNTY <br />ENVIR©NMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />INVOICE <br />MENDIOLA, OSCAR <br />OSCARS AUTO REPAIR <br />209 N HOUSTON LN <br />LODI, CA 95240 <br />Page 1 <br />Account ID ien R0046157 <br />Facility ID A0024681 <br />Date Printed j — 7/3/2018 <br />- 1� : <br />RE: OSCARS AUTO REPAIR <br />209 N HOUSTON LN <br />LODI, CA 95240 <br />OWNER: MENDIOLA, OSCAR <br />Date Health <br />Program Description Amount <br />Invoice # IN0309308 --- Date of Invoice : 713/2018 <br />7/3/2018 1920 HMBP-Common Materials <br />Ill 1111 111111 111 Illi l VIII Illi) VIII VIII VIII VIII VIII 11111 1111 111111 Illi) Il I'l <br />$ 132.00 <br />Total for this Invoice $ 132.00 <br />Payment Due Date 8/212018 <br />TOTAL DUE this Billing Period $ 132.00 <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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br />5254.rpt <br />