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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMF"T <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0032773 <br /> Loommmmomommood <br /> Facility ID F FA0018527 <br /> Date Printed F 7/25/2008 <br /> LMMMMMOWAMMMMA <br /> ZADEGAN, SIA MOHSEN RE : DAVEY CAFE <br /> DAVEY CAFE 3601 PACIFIC AVE <br /> 3601 PACIFIC AVE STOCKTON, CA 95211 <br /> STOCKTON, CA 95211 <br /> OWNER : BON APPETIT MGMT CO <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0178466---Date of Invoice: 7/23/2006 1111111p111p1IN11111111111IN1111 <br /> 7/23/2008 1623 RESTAURANT/BAR 1-20 SEATS S 220.00 <br /> Total for this Invoice $ 220.00 <br /> Payment Due Date 8/2412008 <br /> TOTAL DUE this Billing Period $ 220.00 <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 OES/HMW 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 /> _5d rpt <br />