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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMFrrT <br /> 186�8'E HgELTON AVENUE <br /> STOCKTON, CA 95 <br /> <br /> <br /> INVOICE <br /> Facility ID FA0015151 <br /> Date Printed 2/25/2019 <br /> SALISBURY, PATRICK RE : BLACKWATER ON WHEELS #4GA6786 <br /> BLACKWATER ON WHEELS#4GA6786 912 YOSEMITE AVE <br /> 2403 E POPLAR ST STOCKTON, CA 95204 <br /> STOCKTON, CA 95205 <br /> OWNER : SALISBURY, PATRICK <br /> .s <br /> Health <br /> Date Program Description Amount <br /> ;rf <br /> 1nJo e i 1N0316323_--Date of Invoice: 10/3012018 IIIII 111111111111111 IT 11111111111111111111 IN 1111 <br /> 10/30/2018 1633 FOOD VEHICLE/CART(LTD FOOD PREP) $ 179.00 <br /> y`F i/1612019 9994 PERMIT FEE PENALTY $ 179.00 <br /> Total for this Invoice $ 358.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 358.00 <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 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 />