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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E'HAZELTON AVENUE <br /> STOCKTON, CA <br /> <br /> 66 <br /> INVOICE <br /> Facility ID FA0013720 <br /> Date Printed 1/30/2020 <br /> CUELLAR PEREZ, JUAN RE : MICHELADAS EL PATRON <br /> MICHELADAS EL PATRON 720 W EIGHTH ST STE G <br /> 840 RAYSILVA CIR STOCKTON, CA 95206 <br /> STOCKTON, CA 95206 <br /> OWNER : CUELLAR PEREZ, JUAN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0334116---Date of Invoice: 1/29/2020 11111 1111 111111 11111 1111 IN <br /> 1/29/2020 1625 RESTAURANT/BAR 51-100 SEATS $ 376.00 <br /> Total for this Invoice $ 376.00 <br /> Payment Due Date 2/29/2020 <br /> TOTAL DUE this Billing Period $ 376.00 <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 /> i254.rpi <br />