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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0042697 <br /> 5onprq 54 INVOICE <br /> Facility to FA0023222 <br /> Date Printed 10/24/2016 <br /> <br /> <br /> <br /> <br /> OWNER ., GONZALEZ GARCIA,ZENAIDA <br /> Date Health _ __� <br /> l --Program Deszriptioft-— - - - - - - -'-Arrrour t- <br /> Invoice# IN0283778---Date of Invoice: 101241201 fi 1111111111111111111 <br /> 10/24/2016 1684 SWAP MEETlFLEA MKT VENDOR STAND $ 123.00 <br /> PAYmE IT Total for this invoice $ 123.00 <br /> RECEIVED Payment Due Date 11/23/2016 <br /> NOV 0 9 2016 <br /> TOTAL DUE this Billing Period $ E12 .00 <br /> SAN.lC7AGtUtt+f Ca1]f4tlY <br /> Ta1dVIROMENTAL <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 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.Tpt <br />