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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMEl' Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0044992 <br /> INVOICE <br /> Facility ID FA0024201 <br /> Date Printed 2/12/2018 <br /> <br /> <br /> <br /> <br /> OWNER : RUIZ, JOSE M <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0302380---Date of Invoice: 1012712017 11111111 111111 III VIII VIII 1111 1111 VIII VIII VIII VIII VIII 111 111111 VIII IIII IIII <br /> 10/27/2017 1635 MOBILE FOOD PREPARATION UNIT(MFPU) $ 237.00 <br /> 1/15/2018 9994 PERMIT FEE PENALTY $ 237.00 <br /> Total for this Invoice $ 474.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 474.00 <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 /> 5254.rpt <br />