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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTr'^ IT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)4683420 <br /> Account ID AR0041987 <br /> I <br /> <br /> <br /> #62999A1 <br /> MIKE'S MOBILE FARMERS MKT#62999A1 1243 SAN JUAN AVE <br /> 1243 SAN JUAN AVE STOCKTON, CA 95203 <br /> STOCKTON, CA 95203 - <br /> OWNER : MARCHESOTTI, MICHAEL A <br /> �orQ- S(910 C44 <br /> Date Health �3a -b1�fc �vJ <br /> Program Descriotion Amount <br /> Invoice# IN0316599—Date of Invoice: 10130/2018 <br /> I�IIIII IIIIIIIIIIIIII I�IIIIIII IIIIII�II II�I�III�ID�II I�IIIII�IIIIIII IIIIIIIIIIIII <br /> 10/302018 1636 LTD FOOD VEHICLE(PRODUCENVHOLE FISH) $ 107.00 <br /> Total for this Invoice $ 107.00 <br /> Payment Due Date 11130/2018 <br /> = <br /> TOTAL DUE this Billing Period $ 107.00 <br /> 2x15-�9 <br /> Grp. <br /> �'1'✓0 7� ?O1B <br /> h ADDCO <br /> qR '� <br /> . TI yFhT <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°A 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 />