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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 />AccountlD <br />INVOICE <br />Return This INVOICE with Your PAYMENT Facility ID <br />Date Printed <br />PATEL, SHAILESH RE: BUDGET MOTEL <br />BUDGET MOTEL 1501 S EL DORADO ST <br />1501 S ELDORADO ST STOCKTON, CA 95206 <br />STOCKTON, CA 95206 <br />OWNER: PATEL, SHAILESH <br />Page 1 <br />AR0001601 <br />FA0001602 <br />12/28/2023 <br />Date Health <br />Program Description Amount <br />Invoice # IN0389961--- Date of Invoice :10/18/2023 �1111 11111 11111 �1111 11111 11111 11111 11111 1111 111111 11111 1111 IN <br />10/18/2023 2416 HOTEL / MOTEL 13-25 PR0240030 5 324.00 <br />Total for this Invoice $ 324.00 <br />Payment Due Date 11/30/2023 <br />PAST DUE! <br />WE WOULD APPRECIATE YOUR <br />PAYMENT TODAYI <br />TOTAL DUE this Billing Period $ 324.00 <br />Please make Checks PAYABLE to: 'EHD' <br />or <br />Pay online at: 'htti)s://www.sigov.org/departrnent/etivhealth/fees/online-fee-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 thereafte <br />5254.rpt P.nd of report <br />