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S,AN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> COPY Account ID AR0010334 <br /> <br /> <br /> <br /> <br /> <br /> 95242 <br /> 4320= <br /> ,365 511-1 C-7. OWNER : CALIFORNIA RESTAURANT CONCEPTS INC <br /> 06"IGtp, r'R.qtj <br /> Date Health <br /> D.v..,.CM Description AffWunt <br /> Invoice# IN0339125---Date of Invoice: 7/29/2020 111111 h 11111 11111 11111 11111 11111 111 1111�11111 11111 El 111111 1111�IV IN <br /> 7/29/2020 1626 RESTAURANT/BAR 101 +SEATS $ 42_�90 <br /> Total for this Invoice I $ 425.00 <br /> Payment Due Date 8/30/2020 <br /> TOTAL DUE this Billing Period $ 425.00 <br /> PAYMENT <br /> RECEIVED <br /> AUG 2 8 2020 <br /> SAN°IRAQUIN <br /> HEALTH DEPARTMENT <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 />