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SAN JOAQUIN COUNTY ( Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMWf <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0023586 <br /> Facility ID FA0013954 <br /> Date Printed 6/4/2014 <br /> HERNANDEZ, JUAN J BERMUDEZ RE : BETTO'S TAQUERIA& BIRRIERIA <br /> BETTO'S TAQUERIA'B BIRRIERIA 520 CAROLYN WESTON BLVD STE A <br /> 520 CAROLYN WESTON BLVD STE A STOCKTON, CA 95206 <br /> STOCKTON,CA 95206 <br /> OWNER : HERNANDEZ,.JUAN BERMUDEZ <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0250921 ---Date of Invoice: 2/2812014 I IIIIll1I11111111 VIII VIII IIIA VIII 1111111111 Illll IIIIIIIIII IIII 111111 VIII IIII Illi <br /> 2/28/2014 1624 RESTAURANT/BAR 21-50 SEATS $ 300,00 <br /> 5/15/2014 9994 PERMIT FEE PENALTY $ 300'.00 <br /> Total for this Invoice $ 600'00 <br /> PAST DUE <br /> i, <br /> TOTAL DUE this Billing Period $ 600.00 <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 1000/6 of the Base Fee Penalties will be added at the Rate of 100/6 Penalties wilt 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 />