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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH UEPARTM�..r Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> <br /> 42120 <br /> INVOICE <br /> Facility ID FA0022964 <br /> Date Printed 3/15/2016 <br /> HILL, ERIC R RE : LODOGS#4EC7273 <br /> LODOGS#4EC7273 1717 S UNION ST <br /> 115 RIVER POINT CIR STOCKTON, CA 95206 <br /> LODI, CA 95240 <br /> OWNER : HILL, ERIC R <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0271445--Date of Invoice: 11/19/2015 111111111111111111111111 IN <br /> 11/19/2015 1633 FOOD VEHICLE/CART(LTD FOOD PREP) $ 145.00 <br /> 2/15/2016 9994 PERMIT FEE PENALTY $ 145.00 <br /> Total for this Invoice $ 290.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 290.00 <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 100/6 Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />