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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 � HAZELTON AVENUE <br /> STOCKTON, CA 9520 <br /> <br /> 44628 <br /> INVOICE <br /> Facility ID FA0024044 <br /> Date Printed 2/18/2020 <br /> MAGANA HERNANDEZ, RUBEN RE : JR PRODUCE <br /> JR PRODUCE 1534 GLENN AVE <br /> 1534 GLENN AVE MODESTO, CA 95358 <br /> MODESTO, CA 95358 <br /> OWNER : MAGANA HERNANDEZ, RUBEN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0331902---Date of Invoice: 10/29/2019 11111111111111 h 11111 IHI IHI 11111 11�11111 11111 1111 11111 1111 11hi 1EI 11111 <br /> 10/29/2019 1636 LTD FOOD VEHICLE(PRODUCENVHOLE FISH) $ 107.00 <br /> 10/29/2019 1636 LTD FOOD VEHICLE(PRODUCE/WHOLE FISH) $ 107.00 <br /> 1/15/2020 9994 PERMIT FEE PENALTY $ 107.00 <br /> 1/15/2020 9994 PERMIT FEE PENALTY $ 107.00 <br /> Total for this Invoice $ 428.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 428.00 <br /> V � <br /> v\ <br /> CV <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 />