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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 AR0047542 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0025266 <br /> Date Printed 12/31/2020 <br /> <br /> <br /> <br /> <br /> OWNER : SANFORD,JEFF <br /> Date Health <br /> ProgramDescription Amount <br /> Invoice# IN0342256—Date of Invoice: 10129/2020 11111 11111 11111 111111 111111 11111 IN 1111 <br /> 10/29/2020 1633 FOOD VEHICLEICART(LTD FOOD PREP) $ 179.00 <br /> Total for this Invoice $ 179.00 <br /> Payment Due Date 12/5/2020 <br /> UE! TOTAL DUE this Billing Period $ 179.00 <br /> PAST <br /> WE,WOULD APPRECIATE <br /> P ECI A'Y1 <br /> YOUR <br /> PAYME <br /> Please make Checks PAYABLE to: 'EHD' <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 />