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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0041620 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT FacilityID FA0022719 <br /> Date Printed 12/3/2021 <br /> DUARTE-OROZCO,ALEJANDRA RE : ALFRED PRODUCE#4FX4003 <br /> ALFRED PRODUCE #4FX4003 21 E ELLIS ST <br /> 3122 W SONOMA AVE STOCKTON, CA 95204-4536 <br /> STOCKTON,CA 95204-2526 <br /> OWNER : DUARTE-OROZCO,ALEJANDRA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0361291 ---Date of Invoice: 1012612021 III IIII VIII' lVIIIVIIIVIVIIVIVI IIII 111111111111111 <br /> IIII <br /> 10/26/2021 1636 LTD FOOD VEHICLE(PRODUCEANHOLE FISH) PR0539707 $ 107.00 <br /> Total for this Invoice $ 107.00 <br /> Payment Due Date 11/30/2021 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period $ 107.00 <br /> � A <br /> ��� PAYMENT <br /> �EGEIVED <br /> C3�.0 � 3 2021 <br /> r <br /> }� `II// SApI JOPaUtN OOTAI- <br /> HF�tvs TH D6PP3tTMENT <br /> V`J Would you like Invoices electronically or need to update the email address for this account? Fill out the <br /> form bellow 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.sigov.orNdepaitmentlenvhealtli/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 <br /> End of report <br />