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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />Account ID <br />INVOICE <br />Return This INVOICE with Your PAYMENT Facility ID <br />Date Printed <br /> <br /> <br /> <br /> <br /> <br />Date <br />Invoice # IN0361461 — Dale of Invoice : 10126/2021 <br />10/26/2021 3611 PUBLIC POOUSPA- PRIMARY <br />10/26/2021 3612 PUBLIC POOL/SPA-ADDITIONAL <br />10/26/2021 3612 PUBLIC POOUSPA-ADDITIONAL <br />PAYMENT <br />RECEIVED <br />NOV 01 2021 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />OWNER: GERA,MARKO <br />Page 1 <br />AR0004655 <br />FA0002581 <br />10/26/2021 <br />loommonamommmo <br />Amount <br />PR0360047 <br />$ <br />283.00 <br />PR0360209 <br />$ <br />141.00 <br />PR0360208 <br />$ <br />141.00 <br />Total for this Invoice $ 0 <br />11/30/2021 <br />TOTAL DUE this Billing Period $ 565.00 <br />Would you like Invoices electronically or need to update the email address fowl w' <br />form below with the information with up to 2 email addresses: <br />Email 1 <br />Email 2 <br />Please make Checks PAYABLE to: 'EHD' or <br />Pay online at:'htt0s://www.sicov.orddeoartment/envhealth/online-Davment' <br />Fill out the <br />Penalties will be added to all Permit Fees <br />For HMBP Fees <br />For all SERVICE FEES <br />at the Rate of 100% of the Base Fee <br />Penalties will be added at the Rate of 10% <br />Penalties will be added at the Rate of 10% <br />30 Days after the Due Date <br />60 Days after the Invoice Date <br />60 Days after the Invoice Date and each 30 Days thereafter <br />5254.rpt End of report <br />