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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />INVOICE <br /> <br /> <br /> <br /> <br />Page 1 <br />Account ID <br />AR0001174 <br />Facility ID <br />FA0001176 <br />Date Printed <br />1/30/2020 <br />RE: AKIS FOOD TO GO & ORIENTAL GROCERY <br />368 N MAIN ST <br />MANTECA, CA 95336 <br />OWNER: PANEDA, ELDA F <br />Date Health <br />Program Description Amount <br />Invoice # IN0333892 --- Date of Invoice : 1/29/2020 <br />12/23/2019 1623 333 - INSPECTION/REINSPECTION (Chargeable) <br />111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />Hrs Employee <br />1.00 FAHMY $ 152.00 <br />Total for this Invoice $ 152.00 <br />Payment Due Date 2/29/2020 <br />TOTAL DUE this Billing Period $ 152.00 <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 />5251.rpt <br />