Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMW Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> INVOICE AccountlD AR0002456 <br /> Facility ID FA0002895 <br /> Date Printed 6/27/2012 <br /> RUIZ, KARINA RE : SALSA PICANTE MEXICAN GRILL <br /> SALSA PICANTE MEXICAN GRILL 5308 PACIFIC AVE 104 <br /> 5308 PACIFIC AVE # 104 STOCKTON, CA 95207 <br /> STOCKTON, CA 95207 <br /> OWNER : RUIZ, KARINA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0229818---Date of Invoice: 6/26/2012 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII 111111111 IIII <br /> Hrs Employee <br /> 5/9/2012 1613 333-INSPECTION/REINSPECTION(1 hr minimum) 1.00 FLOHRSCHUTZ $ 125.00 <br /> Total for this Invoice $ 125.00 <br /> Payment Due Date 7/27/2012 <br /> TOTAL DUE this Billing Period $ 125.00 <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/HMMP 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 /> 525a.rpt <br />