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BILLING
EnvironmentalHealth
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1600 - Food Program
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PR0535121
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BILLING
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Entry Properties
Last modified
1/17/2019 8:27:40 AM
Creation date
12/9/2018 2:31:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0535121
PE
1682
FACILITY_ID
FA0020304
FACILITY_NAME
RIPON CERTIFIED FARMERS MARKET
STREET_NUMBER
0
STREET_NAME
MAIN
STREET_TYPE
ST
City
RIPON
Zip
95366
CURRENT_STATUS
02
SITE_LOCATION
MAIN ST
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS\S\STOUFFER\1000\PR0535121\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
7/18/2017 11:18:08 PM
QuestysRecordID
2611992
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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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 /> .b_i Account ID AR0036251 <br /> INVOICE <br /> Facility ID FA0020304 <br /> Date Printed 4/26 0 1 7 <br /> DE PALMA FARMS RE: RIPON CERTIFIED FARMERS MARKET <br /> E` RIPOWCERTIFIED FARMERS MARKET MAIN ST <br /> 18666 E HWY 120 RIPON, CA 95366 <br /> RIPON, CA 95366 <br /> OWNER : DE PALMA FARMS <br /> ii <br /> Date Program. Description Amount <br /> invoice# IN0 292521 ---Date of Invoice: 4126,2017 I1111111111111Illlllll IIIII IIIIIIIIIIIIIIIIIIIIINII IIIIIIIIiIIIiIIIIIlIlllll IIIIIIII <br /> 4/26/2017 1682 CERTIFIED FARMERS MARKET.SITE $ 245.00 <br /> . 7 <br /> Total for this Inv oite $ 245.00 <br /> i <br /> Payment Due Date 512612017 <br /> TOTAL DUE this Billing Period $ 245.00 <br /> no <br /> i <br /> MAY 0 4 1011 <br /> `ENVIRONMENTAL HEALTH <br /> PERMITISERVICES <br /> i <br /> i Please-make Checks PAYABLE to: 'EHD' Return a Copy of This STATEMENT with Your PAYMENT <br /> II , <br /> Penalties will be added to all Permit Fees For HMBP Fees For alt 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 /> j 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> e <br /> 5254.rpt <br />
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