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�1 <br /> All <br /> SAN JCAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR00477 99 <br /> INVOICE <br /> Facility ID FA0025362 <br /> Date Printed 7/31/2020 <br /> SHAHEN, SHELLEY RE : ISLANDERS FIELD BASEBALL <br /> ISLANDERS FIELD BASEBALL CONCESSIONS CONCESSIONS <br /> 125 E MAIN ST STE 1 1051 RIVER ISLANDS PKWY <br /> RIPON, CA 95366 LATHROP, CA 95330 <br /> OWNER : SHAHEN, SHELLEY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0337484---Date of Invoice: 5127/2020 IIII IIIIII III VIII VIII VIII VIIIVIII VIIIVIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 5/27/2020 1613 FOOD EST 501-1000 SQ FT W/O SEATING $ 350.00 <br /> Total for this Invoice $ 350.00 <br /> Payment Due Date 6/27/2020 <br /> TOTAL DUE this Billing Period $ 350.00 <br /> 1 <br /> PAST <br /> 'Ne VC)U MENS OOAYt <br /> PA <br /> ATTENTION <br /> YOUR HEALTH PERMIT FOR <br /> THE CURRENT Y E-A'R <br /> WILL NOT RE ISSC:EJ UNTIL <br /> PAST DUE AMOUNTS <br /> ARE PAID IN FULL <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 />