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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 AR0048890 <br /> INVOICE <br /> Return This INVO <br /> <br /> FGX364 <br /> GOOD TIME ICE CREAM#3FGX364 3412 E MINER AVE <br /> 1791 SPARROW HAWK ST STOCKTON, CA 95205 <br /> MANTECA, CA 95337 <br /> OWNER : DABB, SATWINDER KAUR <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0360524...Date ofInvoice : 10/26/2021 E111111111111 1111111111111111111111111111111111111111111 <br /> 10/26/2021 1633 FOOD VEHICLE/CART(LTD FOOD PREP) PR0545524 $ 179.00 <br /> Total for this Invoice I $ 179.00 <br /> 11/30/2021 <br /> TOTAL DUE this Billing Period $ 179.00 <br /> eoWould you like Invoices electronically or need to update the email address for this account? Fill out the <br /> form below with the information with up to 2 email addresses: <br /> Email 1 <br /> Email 2 <br /> Please make Checks PAYABLE to: 'EHD'or <br /> Pay online at: 'https://www.siaov.oroldeoartment/envhealth/online-uavment' <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 End of report <br />