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SAN JOAQYIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />Page 1 <br />Account ID AR0038677 <br />Facility ID FA002133 <br />Date Printed 4/27/2023 <br />INVOICE <br />Return This INVOICE with Your PAYMENT <br />LUXENBURGER, PHIL <br />CHARLEY'S PHILLY STEAKS <br />2500 FARMERS DR #140 <br />COLUMBUS, OH 43235 <br />RE: CHARLEY'S PHILLY STEAKS <br />10355 TRINITY PKWY <br />STOCKTON, CA 95219 <br />OWNER: CHEUNG, ROBERT <br />Date Health <br />Program Description Amount <br />Invoice # IN0378478 --- Date of Invoice: 3/7/2023 <br /> <br />1 11 11111 111111 III 1 111 1 111011 I 1111111 11111 11 111 11 ElIl II II 1111111111111111111111111 <br />Hrs Employee <br />11/7/2022 1623 333- INSPECTION/REINSPECTION (Chargeable) 1.00 RAMIREZ <br /> <br />PRO537156 <br /> 156.00 <br /> <br />Total for this Invoice <br /> <br />156.00 <br /> <br />4/30/2023 <br />SECOND NOTICE <br /> <br />TOTAL DUE this Billing Period <br />PAYMENT' <br />RECEIVED <br />mg 1 5 2023 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL. <br />DEALTH DEPARTMENT <br />Please make Checks PAYABLE to: 'EHD' <br />or <br />Pay online at: 'https://www.sjgov.org/dePartmentienvhealth/fees/online-fee-oayment <br />Penalties will be added to all Permit Fees <br /> 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% <br /> 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