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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 9520 <br /> <br /> AR0004609 <br /> INVOICE <br /> Facility ID FA0002390 <br /> Date Printed 10/31/2019 <br /> VU, KHANH RE : HAPPY LEMON <br /> HAPPY LEMON 6349 PACIFIC AVE <br /> 6349 PACIFIC AVE STOCKTON, CA 95207 <br /> STOCKTON, CA 95207 <br /> OWNER : VU, KHANH <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0331346---Date of Invoice: 10/29/2019 1111111 Hill E 111�1111 111 11111 11111 11111 11111 11111 11111 1111 111111 11111 IN�111 <br /> 10/29/2019 1624 RESTAURANT/BAR 21-50 SEATS $ 355.00 <br /> Totalfor Invoice $ 355.00 <br /> Payment Due Date 11/30/2019 <br /> TOTAL DUE this Billing Period $ 355.00 <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 10% Penalties will be added at the Rate of 10% <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 />