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= SAN JOAQUIN COUNTY <br /> . a <br /> ENVIRONMENTAL HEALTH DEPARTME Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE ` <br /> Account ID � Hr�0039999 <br /> � <br /> Facility ID FA0021951 <br /> Date Printed -71261201 <br /> <br /> <br /> <br /> <br /> 3. <br /> OWNER : DRAKE, PATTI-LYNNE <br /> Invoice# IN0295687---Date of Invoice: 7126/2017 I IIIII <br /> II 111111 if l IIIII IIIII IIIII IIIII III II IIIII IIIII IIIII IllII 1111 111111 IIIII 1111 1111 <br /> 7/26/2017 1608 CLASS A COTTAGE FOOD-DIRECT SALES $ 146.00 <br /> E' <br /> Total for this Invoice $ 1 <br /> Payment Due Date 812512 <br /> I <br /> y TOTAL DUE this Billing Period $ lz <br /> 00 <br /> PAYMENT <br /> RECEIVED <br /> �V/ i <br /> AUG Z 1 2017 <br /> SAN JOAQUIN COUNTY <br /> F- MEALTH DEPARTMENT <br /> 11 ''nnnn <br /> IV`A � <br /> I <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- 45 Days after-the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter r <br /> 5254.rpt V <br />