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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 AR0033620 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0018906 <br /> Date Printed 11/5/2020 <br /> <br /> <br /> <br /> <br /> OWNER : URRUTIA MELGOZA, MARTHA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0342315---Date of Invoice: 10/2912020 III I I III I V II I i l l l VIII I I I III II I I III V I IIII I I VIII IIII IIII <br /> 10/29/2020 1635 MOBILE FOOD PREPARATION UNIT(MFPU) $ 237.00 <br /> Total for this Invoice I $ 237.00 <br /> Payment Due Date 12/5/2020 <br /> TOTAL DUE this Billing Period $ 237.00 <br /> Please make Checks PAYABLE to: 'EHD' <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 />