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SAN JOAQUIN COUNTY <br /> ENVRRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0001327 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT FacilityID FA0001328 <br /> Date Printed 4/26/2021 <br /> <br /> <br /> <br /> <br /> OWNER : SIA, IRWIN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0351430--Date of Invoice : 4/22/2021 IIIII IIIIII II�IIIIIIIII IIIII IIIIIuI II IIIIIIIIIII IIII1III <br /> 4/22/2021 1625 RESTAURANT/BAR 51-100 SEATS $ 376.00 <br /> Total for this Invoice I $ 376.00 <br /> Payment Due Date 5/30/2021 <br /> TOTAL DUE this Billing Period $ 376.00 <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'https://www.sigoy.orct/department/envhealthlonline-I)ayment' <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 End of report <br />