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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTOrJ AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0001903 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT FacilirylD FAMMMMs <br /> Date Printed 10/26/2021 <br /> <br /> <br /> STOCKTON, CA 95219 <br /> OWNER : CERNOTA, RAYMOND <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0341145---Date of Invoice : 10/29/2020 IIII I I V II V III II VII VII V I VII V II I I 111111111111 <br /> 10/29/2020 3611 PUBLIC POOL/SPA-PRIMARY PRO360068 $ 283.00 <br /> Total for this Invoice $ 283.00 <br /> Payment Due Date 11/30/2020 <br /> ATTENTION PAST DUE! <br /> YOUR HEALTH PERMIT Delinquent charges over <br /> FOR THE CURRENT YEAR 90 days! <br /> MAY NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS ARE <br /> PAID IN FULL <br /> Invoice# IN0361609--Date of Invoice: 10/26/2021 1111111 IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 10/26/2021 3611 PUBLIC POOL/SPA-PRIMARY PR0360068 $ 283.00 <br /> Total for this Invoice I $ 283.00 <br /> 11/30/2021 <br /> TOTAL DUE this Billing Period $ 566.00 <br /> eo <br /> Would you like Invoices electronically or need to update the email address for this account? Fill out the <br /> form below with the information with up to 2 email addresses: <br /> Email 1 <br /> Email 2 <br /> Please make Checks PAYABLE to: 'EHD'or <br /> Pay online at: 'https://www.siciov.org/department/envhealtWonline-p)avment' <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 /> 5254gn End of report <br />