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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> ST0CKT0K, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0001263 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA000,zse <br /> Date Printed 3/11/2021 <br /> <br /> <br /> <br /> <br /> OWNER : M & M WESTLANE INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0340907...Date ofInvoice: 10/2912020 1111111111111111111111111 IN IIIIII IIIII IIII IIII <br /> Him Employee <br /> 9/9/2020 1623 333-INSPECTION/REINSPECTION(Chargeable) 1.00 FLOHRSCHUTZ $ 152.00 <br /> 9/28/2020 1623 334-INSPECTION/REINSPECTION-Set 101 ROUTINI 1.00 FLOHRSCHUTZ $ 152.00 <br /> Total for[his Invoice $ 304.00 <br /> PAST DUE <br /> Invoice# IN0347797---Date of Invoice: 1213012020 IIIIIIIIIIIIVIIIIIIIIIIIIIIIIIIIVIVIIIVII IIIIIIIIIIIIIVII IIIIII <br /> 12/30/2020 1623 RESTAURANT/BAR 1-20 SEATS $ 350.00 <br /> Total for this Invoice $ 350.00 <br /> Payment Due Date 113012021 <br /> TOTAL DUE this Billing Period $ 654.00 <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'hftps://www.sioov.oraldeoartment/envhealttVonline-i3ayment' <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 />