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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTN T <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID F AR0039999 <br /> INVOICE <br /> Facility ID F FA0021951 <br /> Date Printed F 8/21/2015 <br /> LEMMMOMOMMOMMM <br /> <br /> <br /> <br /> <br /> OWNER : DRAKE, PATTI-LYNNE <br /> Date Health <br /> rnograr, nesnrption A`ntseW.-- <br /> L <br /> Invoice# IN0269444---Date of Invoice: 8/21/2015 IIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIIIIII IIIIII VII IIII <br /> 8/21/2015 1608 CLASS A COTTAGE FOOD-DIRECT SALES S 125.00 <br /> Total(,,this Invoice $ 125.00 <br /> Payment Due Date 9/20/2015 <br /> PAYMENT <br /> RECEIVED TOTAL DUE this Billing Period $ 125.00 <br /> J <br /> SEP 17 2015 <br /> SAEITM <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> A? <br /> .4, <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 <br /> _1a rpt <br />