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SAN JOAQUIN COUNTY <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 ����( s� <br /> Account ID AR0001327 <br /> INVOICE <br /> Facility ID FA0001328 <br /> Date Printed 12/16/2019 <br /> <br /> <br /> <br /> <br /> OWNER : DE LA ROSA,A& BANGUIS JR,A <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0325217---Date of Invoice: 8/29/2019 �1111 111111 E 11111 11111 111 11111 11111 11111 11111 11111 11111 1111 11111�11111 1111 IN <br /> 8/29/2019 1625 RESTAURANT/BAR 51-100 SEATS $ 376.00 <br /> 11/15/2019 9994 PERMIT FEE PENALTY $ 376.00 <br /> Total forthis Invoice $ 752.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 752.00 <br /> ed <br /> t, <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 /> >2>4.rpt <br />