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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMbv f Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> <br /> <br /> INVOICE <br /> Facility ID FA0022280 <br /> Date Printed 3/15/2016 <br /> MORENO,JORGE JR RE : J M PRODUCE#26255RI <br /> J M PRODUCE#26255RI 2446 E POPLAR ST <br /> 2446 E POPLAR ST STOCKTON, CA 95205 <br /> STOCKTON, CA 95205 <br /> OWNER : MORENO,JORGE JR <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0271789---Date of Invoice: 11/19/2015 III III II III I I V II I I IIIIII VII VIII VI I V I VI VI I II I I I VI III IIII <br /> 11/19/2015 1636 LTD FOOD VEHICLE(PRODUCEANHOLE FISH) $ 87.00 <br /> 2/15/2016 9994 PERMIT FEE PENALTY $ 87.00 <br /> Total for this Invoice $ 174.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 174.00 <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 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />