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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 /> Account ID AR0047378 <br /> INVOICE <br /> Facility ID FA0025189 <br /> Date Printed 2/18/2020 <br /> <br /> <br /> <br /> <br /> OWNER : BARRERA, VIRGINIA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0331471 ---Date of Invoice: 10/29/2019 11111 11111 11111 11111 IIE 111 11111 11111 11111 IN 111111 11111 IN 11 <br /> 10/29/2019 1633 FOOD VEHICLE/CART(LTD FOOD PREP) $ 179.00 <br /> 1/15/2020 9994 PERMIT FEE PENALTY $ 179.00 <br /> Total for .Invoice $ 358.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 358.00 <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 /> 52j4.ipt <br />