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SAN JOAQUIN COUNTY A Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> <br /> <br /> AR0050884 <br /> LOS COCHOS TACOS AccountlD <br /> ALONZO ROSAS Date Printed F 3/1/2022 <br /> PO BOX 5620 <br /> STOCKTON CA 95205 Re: <br /> SR0084013-FOOD PLAN CHECK <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0354627—Date of Invoice: 819/2021 IillllllllllllVIIIVIIVIIVIIIIIIIIilllllVIIIIIIIIIV III III <br /> 08/09/2021 9999 PAYMENT -456.00 <br /> 08/09/2021 1601 523 PLAN CHECK(3 hr min) 0.6LINHARES SR0084013 91.20 <br /> 08/10/2021 1601 523 PLAN CHECK(3 hr min) 0.91-INHARES SR0084013 136.80 <br /> 08/18/2021 1601 523 PLAN CHECK(3 hr min) 0.51LINHARES SR0084013 76.00 <br /> 12/09/2021 1601 523 PLAN CHECK(3 hr min) 1.5MURO SR0084013 228.00 <br /> Total for this Invoice $76.00 <br /> Payment Due Date 1/30/2022 <br /> —I C41{ yL(jN LtieUCiS <br /> STO' S -' INCO iN ST I <br /> TOCKTON CA 95285-1945 <br /> RETURN TO SENDER <br /> rnlllr(ern(j(i))Ijnrilln))rrr))rn�(I)rrrijr)ijtirlj((r))rr� <br /> 19-1 di f PSS S Y <br /> \dry <br /> Please make Checks PAYABLE to: THU <br /> or <br /> Pay online at: 'hftos://www.sjgov.org/deoartment/envhealth/fees/online-fee-Dayment' <br /> 5256.rpr <br /> End of report <br /> M0547388 <br />