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SAN .IOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />INVOICE <br /> <br /> <br /> <br /> <br />Page 1 <br />Account ID <br />AR0046257 <br />Facility ID <br />FA0024719 <br />LEMOMMMMIMMMA <br />Date Pnnted <br />7/3/2018 <br />RE: LOPEZ TRUCK AND TRAILER REPAIR <br />4300 E MARIPOSA RD <br />STOCKTON, CA 95215 <br />OWNER: LOPEZ, JAIME <br />Date Health <br />Program Description Amount <br />Invoice # IN0309311 --- Date of Invoice: 713/2018 <br />7/3/2018 1921 HMBP-Regular-Primary Location <br />11111111 IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII <br />VIII IIII <br />$ <br />IIIIII VIII IIII IIII <br />313.00 <br />Total for this Invoice <br />$ <br />313.00 <br />Payment Due Date <br />8/2/2018 <br />TOTAL DUE this Billing Period $ 313.00 <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 />