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,SAN JPAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART. r Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 952 <br /> <br /> <br /> .51� <br /> Facility ID FA0016442 <br /> Date Printed 2/25/2019 <br /> GUILLEN OSUNA,JESSIKA RE : ANGELICA'S DELICIOUS FOODS#7K13383 <br /> ANGELICA'S DELICIOUS FOODS#7K13383 2900 E HARDING WAY <br /> 1452 N WILLIAMS ST#17 STOCKTON, CA 95205 <br /> STOCKTON, CA 95205 <br /> OWNER : GUILLEN OSUNA,JESSIKA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0316357---Date of Invoice: 10/30/2018 IIIIIIIIIIIVIIVIIIVIIIVIIVIIIVIVI VI VI IIIIIIIIIIIIIIIIIII <br /> 10/30/2018 1635 MOBILE FOOD PREPARATION UNIT(MFPU) $ 237.00 <br /> 1/15/2019 9994 PERMIT FEE PENALTY $ 237.00 <br /> Total for this Invoice $ 474.00 <br /> p PAST DUE <br /> TOTAL DUE this Billing Period $ 474.00 <br /> �l <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 />