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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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T
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26 (STATE ROUTE 26)
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19021
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1600 - Food Program
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PR0548456
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Entry Properties
Last modified
11/20/2024 8:49:34 AM
Creation date
8/8/2023 3:37:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0548456
PE
1623
FACILITY_ID
FA0027678
FACILITY_NAME
LION'S XTREME NUTRITION CLUB
STREET_NUMBER
19021
Direction
E
STREET_NAME
STATE ROUTE 26
City
LINDEN
Zip
95236
CURRENT_STATUS
01
SITE_LOCATION
19021 E HWY 26
P_LOCATION
99
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE <br /> Return This INVOICE with your PAYMENT <br /> I <br /> LION'S XTREME NUTRITION CLUB Account IDAR0053158- <br /> ORTIZ SANROMAN,ANU R Date Printed 6/30/2023 <br /> 1626 S AURORA ST <br /> STOCKTON CA 95206 Re: 19021 E HWY 26 , LINDEN <br /> SR0086208-FOOD PLAN CHECK <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0377650---Date of Invoice: 2/2/2023 11111111 hill 1111111111111 X11111111111111111 IE111111111111111$111111X111 <br /> 01/31/2023 1601 523 PLAN CHECK(3 hr min) 1.5MURO SR0086208 234.00 <br /> 02/02/2023 9999 PAYMENT -468.00 <br /> 03/01/2023 1601 523 PLAN CHECK(3 hr min) 1.OMURO SR0086208 156.00 <br /> 05/17/2023 1601 523 PLAN CHECK(3 hr min) 0.8MURO SR0086208 124.80 <br /> Total for this Invoice $46.80 <br /> Pacment Due Date 6/30/2023 <br /> RETURN TO SE%10iD <br /> STO Tnnl re or2ac_Ges3 <br /> RETURN TO SENDER ,. <br /> V� <br /> 1 <br /> V <br /> V <br /> 1 � V <br /> v `\Q <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'https://www.sogov.oraidepartment/envhealth/fees/online-fee-payment' <br /> 5256.rpt <br /> End of report <br />
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