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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br />•1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 p <br />Phone: (209) 468-3420 C -an �o0 1 „ Oc Up6c4c-A `� c <br />i il o �� i n A t.(� aji CA � 5��2 - 51APAccount ID AR0021369 <br />LlV INVOICE <br />Return This INVOICE with Your PAYMENT Facility ID FA0012769 <br />Date Printed 12/2/2021 <br />SALVADOR GONZALEZ LABOR RE: SALVADOR GONZALEZ LABOR <br />CONTRACTOR CONTRACTOR <br />217 FOURTH ST 10065 KOST RD <br />GALT, CA 95632 GALT, CA 95632 <br />OWNER: GONZALEZ, SALVADOR <br />Date Health <br />Program Description Amount <br />Invoice # IN0361745 --- Date of Invoice : 10/26/2021 <br />10/26/2021 4244 PUMPER TRUCK <br />10/26/2021 4244 PUMPER TRUCK <br />10/26/2021 4255 CHEMICALTOILETS <br />I (IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br />PRO541756 $ 184.00 <br />PR0538256 $ 184.00 <br />PRO516745 $ 80.00 <br />Total for this Invoice <br />Payment Due Date <br />SECOND NOTICE <br />TOTAL DUE this Billing Period <br />$ 448.00 <br />11130/2021 <br />$ 448.00 <br />PAYMENT <br />RECEIVED <br />DEC 2 0 2021 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />V 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 />Email2 <br />Please make Checks PAYABLE to: 'EHD' or <br />Pay online at: 'htti2s://www.smgov.org/department/envhealth/online-payment' <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 />5254.rpt End of report <br />