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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0544743
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Entry Properties
Last modified
8/21/2020 9:53:16 AM
Creation date
9/26/2019 2:39:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0544743
PE
1624
FACILITY_ID
FA0025430
FACILITY_NAME
AUSTIN'S COFFEE CRAFTERS LLC
STREET_NUMBER
222
Direction
W
STREET_NAME
RIVER
STREET_TYPE
RD
City
RIPON
Zip
95366
CURRENT_STATUS
01
SITE_LOCATION
222 W RIVER RD STE A
P_LOCATION
05
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1866 E HAZ+=LTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> COPYAccount ID AR0047940 <br /> INVOICE <br /> <br /> <br /> COFFEE CRAFTERS LLC <br /> AUSTIN'S COFFEE CRAFTERS LLC 222WRIPORIVECA RD TE A <br /> RIPON, CA 95366 000 W ktu°v� 1`x/11 <br /> OWNER : KEARNEY,ALEXUS <br /> Date Health <br /> Program Descriotion Amount <br /> Invoice# IN0338142--Date of Invoice: 6/24/2020 (IIIIII III VIII(VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIIIA((IIII <br /> 6/24/2020 1624 RESTAURANT/BAR 21-50 SEATS $ 355.00 <br /> Total for this Invoice $ 355.00 <br /> Payment Due Date 125120 <br /> TOTAL DUE this Billing Period $ 355.00 <br /> "Pease LAPda`li-e w06)-w J <br /> a ;res5 -�o bAS neS5 <br /> ad does <br /> wC) , S -- A <br /> PAYMENT <br /> RECEIVED <br /> JUL 17 2020 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 />
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