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SAN-, AG`WN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKT <br /> ���� <br /> Vim- 10 z 3-L y y <br /> Account ID AR0015458 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0008110 <br /> Date Printed 11/5/2020 <br /> BUSINESS LICENSE & PERMITS RE : CHEVRON #1718 <br /> CHEVRON #1718 755 S TRACY BLVD <br /> PO BOX 2292 TRACY, CA 95376 <br /> BREA, CA 92821-2292 <br /> OWNER : CHEVRON PRODUCTS COMPANY(A DIVISIOI <br /> Gate Health <br /> Program Description Amount <br /> Invoice# IN0341783---Date of Invoice: 10/29/2020 I VIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 10/29/2020 1617 RETAIL MARKET>1000 SQ FT W/FOOD PREP $ 301.00 <br /> Total for this Invoice $ 301.00 <br /> Payment Due Date 12/5/2020 <br /> TOTAL DUE this Billing Period 301.00 <br /> REcqe/V,r <br /> /V ED <br /> DEC 2 4 ?010 <br /> SAN j0A HE N RON I COUNTY <br /> ALT H pEPARTMENT <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 />