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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 />AR0039257 <br />Facility ID <br />FA0021645 <br />Date Printed <br />9/27/2018 <br />RE: AUTO CLINIC <br />347 S COMMERCE ST <br />STOCKTON, CA 95203 <br />OWNER: MORALES, JESUS <br />Date Health <br />Program Description Amount <br />Invoice # IN0315431 --- Date of Invoice : 9/26/2018 <br />9/26/2018 2220 SM HW GEN <5 TONSNR <br />9/26/2018 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />INMENTAL HEALTH DEPARTMENT <br />SAN JOAQUIN COUNTY <br />1868 East Hazelton Avenue <br />Stockton, California 95205-6232 <br />Return Service Requested <br />1. 1. t t i �:::: i' •i7` •1 r-,? 1.1";' i• <br />IIIIIII IIIIII III VIII IIIII VIII VIII IIIII VIII VIII ILII IIIII IIII IIIIII IIIII IIII IIII <br />$ 249.00 <br />$ 49.00 <br />Total for this Invoice $ 298.00 <br />Payment Due Date 10/27/2018 <br />TOTAL DUE this Billing Period $ 298.00 <br />Hasler FIRST-CLASS MAIL <br />ALITO <br />I j;0ffrw;_;rmzC 1 W O <br />.401 <br />na <br />011E"' 1..;; <br />RECEIVED <br />OCI 182018 <br />ENVIRONMENTAL HEALTH <br />PERMIT/SERVICES <br />6/ <br />RCTU.R.11 TO SE ADE <br />ATTEMPTED. a NOT KI`40WN <br />':dtoA3LZ-- TO eQR.V!AFID a <br />PC, 952056Z3268 *2952--07056-12-17 <br />