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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPART <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />Page 1 <br />IT <br /> <br />Account ID <br />Facility ID <br />Date Printed <br />AR0041849 <br />INVOICE FA0022814 <br /> <br />3/10/2017 <br /> <br /> <br /> <br /> <br />RE: SALDANA TAQUERIA #4NE2698 <br />500 SEVENTH ST <br />MODESTO, CA 95654 <br />OWNER: SALDANA RODRIGUEZ, JOSE A <br /> <br />Date Health <br />Program Description Amount <br />Invoice # IN0284723 --- Date of Invoice: 11/21/2016 <br /> <br />111111111111111111111111111111111111111111111111111111111111111131111E111111111 <br />11/21/2016 1635 MOBILE FOOD PREPARATION UNIT (MFPU) $ 215.00 <br />2/15/2017 9994 PERMIT FEE PENALTY $ 215.00 <br />Total for this Invoice 430.00 <br />PAST DUE <br />TOTAL DUE this Billing Period <br /> <br />$ 430.00 <br /> <br />Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br />1 Penalties will be added to all Permit Fees <br />at the Rate of 100% of the Base Fee <br />30 Days after the Due Date <br />For HMBP Fees <br />Penalties will be added at the Rate of 10% <br />45 Days after the Invoice Date <br />For all SERVICE FEES <br />Penalties will be added at the Rate of 10% <br />60 Days after the Invoice Date and each 30 Days thereafter <br />5254.rpt