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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 'Iffif E"HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Amount ID AR0021376 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT FacliylD LMOMMOMMMMMA <br /> FA0012776 <br /> Date Printed 12/31/2020 <br /> <br /> <br /> <br /> <br /> OWNER : NGUYEN,ANTHONY/VU, HONG <br /> Date. Health <br /> - -Program- — Description _ ._ Amount _ <br /> Invoice# IN0342037...Date of Invoice: 10129/2020 11111111111111111111111 IN <br /> 10/29/2020 1636 LTD FOOD VEHICLE(PRODUCE/WHOLE FISH) $ 107.00 <br /> Total for this Invoice $ 107.00 <br /> Payment Due Date 12/512020 <br /> PAST ®UE! <br /> WE WOULD PAYMENT TODAY! YOUR <br /> TOTAL DUE this Billing Period $ 107.00 <br /> tw <br /> 'Ito <br /> C ria.C-t: \j <br /> t - 2A3- -2- - Y--L <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 101/0 <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 />