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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0020954 <br /> Facility ID FA0012653 <br /> Date Printed 7/24/2013 <br /> JULIO RODRIGUEZ LICONA RE : CARNICERIA EL HIDAL GENZE <br /> CARNICERIA EL HIDAL GENZE 2907 S EL DORADO ST <br /> 2907 S EL DORADO ST STOCKTON, CA 95206 <br /> STOCKTON, CA 95206 <br /> OWNER : RODRIGUEZ LICONA/RODRIGUEZ,NA <br /> Date Health <br /> Fiogram Description Amount <br /> Invoice# IN0241769---Date of Invoice: 6/24/2013 III IIIIII III IIIII IIIII IIIII IIIII IIIII VIII IIIII IIIII IIIII IIII IIIIII IIIII IIII IIII <br /> 6/24/2013 1616 RETAIL MARKET< 1000 SO FT W/FOOD PREP $ 208.00 <br /> Total for this Invoice $ 208.00 <br /> SECOND NOTICE Payment Due Date 7/25/2013 <br /> TOTAL DUE this Billing Period $ 208.00 <br /> /ag JJ3 <br /> gl <br /> PAYMENT <br /> RECEWED <br /> rooQ� _ AUG 2 8 2013 <br /> � <br /> SAN JOAQtlIN COUNTY <br /> ENVIROMENTAL <br /> Cie HEALTH DEPARTMENT <br /> civ <br /> Z <br /> 7 <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.rpt <br />