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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOIC 1:.COPY Account ID AR0045539 <br /> Facility ID i FA0024421M=tl <br /> Date Printed 11/27/2019 <br /> <br /> <br /> <br /> <br /> OWNER : QUASHNICK, JUL[A <br /> Date Health <br /> Program Description Amount <br /> I <br /> Invoice# IN0332785---Date of Invoice: 11/26/2019 11111111 KIII III II1II1111111111111111111111111I11II 1111111111II I IIHI IIIII IIII IN <br /> 11/26/2019 1609 CLASS B COTTAGE FOOD-INDIRECT SALES S 310.00 <br /> Total for this Invoice $ 310.00 <br /> Payment Due Date 12/27/2019 <br /> TOTAL DUE this Billing Period $ 310.00 <br /> PAYMENT REG�E[VER <br /> DEC 2 0 2019 <br /> SAN JOAQUIIV CUUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 52i-1 rpt <br />