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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPART IT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />Page 1 <br />Account ID <br />Facility ID <br />Date Printed <br />AR0032195 <br />L FA0018276 <br />3/29/2016 <br />INVOICE <br /> <br /> <br /> <br /> <br />OWNER: LOPEZ, PEDRO & MARTHA 0 <br />Date Health <br />Program Description Amount <br />Invoice # IN0271837 --- Date of Invoice: 11/19/2015 <br /> <br />111111111111111111101110111111111111111111111110101110 111 01111111111101111 <br />11/19/2015 1636 LTD FOOD VEHICLE (PRODUCE/WHOLE FISH) 87.00 <br />2/15/2016 9994 PERMIT FEE PENALTY 87.00 <br />Total for this Invoice I 174.00 <br />PAST DUE <br />TOTAL DUE this Billing Period $ 174.00 <br /> <br />f'17:59cc FOla <br />1; Oa CARS'O-A s <br />-i <br />Tg. <br /> Is,u5) <br />ViV6-C <br />PAOUKTS <br />Nike <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 <br /> For all SERVICE FEES <br />at the Rate of 100% of the Base Fee Penalties will be added at the Rate of 10% <br /> <br />Penalties will be added at the Rate of 10% <br />30 Days after the Due Date 45 Days after the Invoice Date <br /> 60 Days after the Invoice Date and each 30 Days thereafter <br />5254.rpi