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�1 <br /> All <br /> SAN JCAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95206 <br /> Phone: (209)468-3420 <br /> Account ID F AR004 7769 <br /> INVOICE <br /> Facility ID FA0025362 <br /> Date Printed F 7/31/ 0-20 <br /> SHAHEN, SHELLEY RE : ISLANDERS FIELD BASEBALL <br /> ISLANDERS FIELD BASEBALL CONCESSIONS CONCESSIONS <br /> 125 E MAIN ST STE 1 1051 RIVER ISLANDS PKWY <br /> RIPON, CA 95366 LATHROP, CA 95330 <br /> OWNER : SHAHEN, SHELLEY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0337484---Date of Invoice: 5127/2020 (IIIIII IIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIIIII IIIII IIII IIII <br /> 5/27/2020 1613 FOOD EST 501-1000 SQ FT W/O SEATING $ 350.00 <br /> Total for this Invoice $ 350.00 <br /> Payment Due Date 6/27/2020 <br /> TOTAL DUE this Billing Period $ 350.00 <br /> 1 <br /> PASS ®� o <br /> �R <br /> W"'ou MEND j 0mil <br /> PA <br /> ATTENTION <br /> YOUR HEALTH PERMIT FOR <br /> THE CURRENT YEAR <br /> WILL NOT BE ISSUED !NTIL <br /> PAST DUE APAOU 1 S <br /> ARE PAID IN FULL <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your 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 />