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•SAN J6AQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0000376 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT FadliylD FA0000377 <br /> Date Printed Qpy) 3/26/2021 <br /> <br /> <br /> <br /> <br /> OWNER : GONZALEZ-MORA, RUBEN ARTURO <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0341731 ---Date of Invoice: 10/29/2020 IIIIII VIIIIIIVIII VIIIIII IIII 1111111111111111111 <br /> 10/29/2020 1635 MOBILE FOOD PREPARATION UNIT(MFPU) ^ $ 237.00 <br /> J 1' i1 PAST DUE <br /> Total for this Invoice $ /237.00 <br /> tA <br /> TOTAL DUE this Billing Period $ #7.0 0; <br /> " V <br /> vW� aC� Guwann•t>s� <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'htti3s://www.sioov.orddepartmentlenvhealthlonline//www�ayment' <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 /> 52i 1.q i <br />