Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 9520 <br /> <br /> 0034871 <br /> INVOICE <br /> Facility ID FA0019589 <br /> Date Printed 10/31/2019 <br /> MARTHA GONZALEZ RE : MELYS CHURROS <br /> MELYS CHURROS 500 7TH ST STE D <br /> 1109 SHASTA AVE MODESTO, CA 95354 <br /> MODESTO, CA 95358 <br /> OWNER : GONZALEZ, PAN FI LO;GONZALEZ,MARTHA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0331420---Date of Invoice: 10/29/2019 1111111 Ell III 11111 11111 11111 11111 11111 11111 11111 11111 11111 1111 111111 11111 IN�111 <br /> 10/29/2019 1633 FOOD VEHICLE/CART(LTD FOOD PREP) $ 179.00 <br /> 10/29/2019 1633 FOOD VEHICLE/CART(LTD FOOD PREP) $ 179.00 <br /> 10/29/2019 1633 FOOD VEHICLE/CART(LTD FOOD PREP) $ 179.00 <br /> 10/29/2019 1633 FOOD VEHICLE/CART(LTD FOOD PREP) $ 179.00 <br /> Total for this Invoice $ 716.00 <br /> Payment Due Date 11/30/2019 <br /> TOTAL DUE this Billing Period $ 716.00 <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 />