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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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B
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BALSAM
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4543
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1600 - Food Program
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PR0538015
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BILLING
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Entry Properties
Last modified
3/1/2022 4:28:49 PM
Creation date
12/7/2018 9:22:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0538015
PE
1608
FACILITY_ID
FA0021951
FACILITY_NAME
BUFFALO BAKING CO
STREET_NUMBER
4543
Direction
E
STREET_NAME
BALSAM
STREET_TYPE
DR
City
STOCKTON
Zip
95212
APN
08656030
CURRENT_STATUS
01
SITE_LOCATION
4543 E BALSAM DR
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\jcastaneda
Supplemental fields
FilePath
\MIGRATIONS\B\BALSAM\4535\PR0538015\BILLING.PDF
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0039999 <br /> INVOICE <br /> Facility ID FA0021951 <br /> Date Printed 9/16/2019 <br /> <br /> <br /> <br /> <br /> OWNER : DRAKE, PATTI-LYNNE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0324233---Date of Invoice: 7/25/2019 IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 7/25/2019 1608 CLASS A COTTAGE FOOD-DIRECT SALES $ 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 8/25/2019 <br /> TOTAL DUE this Billing Period 155.00 <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 60 Days after the Invoice <br /> - Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 52 i4.rpt f k 5�J p 6 is <br />
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