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SAN JOAQUIN COUNTY <br /> ENVII�NMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID I AR0034773 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Fad14ID FA0019539 <br /> Date Printed 112912021 <br /> <br /> <br /> <br /> <br /> OWNER : 3481 LOADSTONE DRIVE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0333429---Date of Invoice: 12130/2019 I Illlll� 111 Ill]I I`I[l VIII VIII Illll ll�l�VIII VIII VIII II1I 11111111111 IN 1111 <br /> 12/30/2019 1623 RESTAURANTIBAR 1-20 SEATS $ 350.00 <br /> Total forthis Invoice $ 350.00 <br /> PAST DUE <br /> Invoice# IN0347855---Date of Invoice: 1213012020 1111111 111111 II!ILII����IIIIIIIIII VIII Illll VIII VIII IIIIIIIII IIIIIIIIIII IIII IIII <br /> 12/30/2020 1623 RESTAURANT/BAR 1-20 SEATS $ 350.00 <br /> Total for this Invoice $ 350.00 <br /> Payment Due Date 1/3012021 <br /> TOTAL DUE this Billing Period $ 700.00 <br /> ora ��h[T <br /> YOUR N T"H � <br /> WEw� � P ,��QpY1 <br /> 711E CU�FF�T' IT FOR <br /> NVQ <br /> p LL NOS' BAR <br /> PAST CUE''SS�SD UAL <br /> OUNTS <br /> �F PAIL) IN FULL <br /> Please make Checks PAYABLE to: 'EHD' <br /> Penalties will be added to all Permit Fees For HMSP 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 />