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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPART& <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />INVOICE <br /> <br /> <br /> <br /> <br />Page 1 <br />i <br />Account ID <br />AR0024927 <br />Facility ID <br />FA0014658 <br />Date Printed <br />3/12/2019 <br />RE: DULCERIA HERNANDEZ #8A25019 <br />423 N FIFTH ST <br />PATTERSON,CA 95363 <br />OWNER: RAMOS, CARLOS SALDIVAR <br />Date Health <br />Program Description Amount <br />Invoice # IN0316374 -- Date of Invoice : 10/30/2018 <br />10/30/2018 1636 LTD FOOD VEHICLE (PRODUCER HOLE FISH) <br />1/15/2019 9994 PERMIT FEE PENALTY <br />$ 107.00 <br />$ 107.00 <br />Total for this Invoice 1 $ 214.00 <br />PAST DUE <br />TOTAL DUE this Billing Period $ 214.00 <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 HMBP Fees For all SERVICE FEES <br />at the Rate of 100% of the Base Fee Penalties will be added at the Rate of 100/ Penalties will be added at the Rate of 100/6 <br />30 Days after the Due Date 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br />5254.rpt <br />