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SAN JOAQ UIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE 4858 <br /> Account ID AR000 <br /> Return This INVOICE with Your <br /> <br /> S BAUTISTA IS THE GM RE : BURGER KING #2268 <br /> BURGER KING #2268 619 W DR MARTIN LUTHER KING JR BLVD <br /> 619 W DR MARTIN LUTHER KING STOCKTON, CA 95206 <br /> STOCKTON, CA 95206 <br /> OWNER : SUNNY GHAI <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0340469---Date of Invoice: 9/28/2020 1111111 111111 111 11111 IN IIIII 11111 11111 11111 11111 11111 11111 1111 111111 11111 1111 IN <br /> 9/28/2020 1626 RESTAURANT/BAR 101 +SEATS $ 425.00 <br /> Total for this Invoice $ 425.00 <br /> Payment Due Date 10/30/2020 <br /> TOTAL DUE this Billing Period $ 425.00 <br /> Please make Checks PAYABLE to: 'EHD' <br /> Penalties will be added to all Permit For HMBP Fees For all SERVICE FEES <br /> Fees Penalties will be added at the Rate of Penalties will be added at the Rate of 10% <br /> at the Rate of 100%of the Base Fee 10% 60 Days after the Invoice Date and each 30 Days <br /> 254 rpt <br />