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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 048429 <br /> <br /> <br /> 12/6/2019 <br /> JZK CORPORATION RE : JZK CORPORATION <br /> 427 S CUMBERLAND AVE 4205 S B ST STE A <br /> PARK RIDGE, IL 60068 STOCKTON, CA 95206 <br /> OWNER : JZK CORPORATION <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0332848---Date of Invoice: 12/6/2019 11111111111111 E 11111 IHI 11111 11111 11111 11111 11111 11111 111 1111 11EI 1EI 11 IN <br /> 12/6/2019 1920 HMBP-Common Materials $ 98.00 <br /> 12/6/2019 1922 CERS Processing Fee $ 30.00 <br /> 12/6/2019 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> Total for this Invoice $ 177.00 <br /> Payment Due Date 1/5/2020 <br /> TOTAL DUE this Billing Period $ 177.00 <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 /> -52 i:}.rpt <br />