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SAN JOAQUIN COUNTY <br /> E'I:I�VIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 9 <br /> <br /> 942 <br /> INVOIC <br /> Facility ID I FA0024171 <br /> Date Pnnted 5/29/2020 <br /> SAMANIEGO, GEORGINA RE : TEE TARTS CAKES <br /> TEE TARTS CAKES 1742 TASCA LN <br /> 1742 TASCA LN MANTECA, CA 95337 <br /> MANTECA, CA 95337 <br /> OWNER : SAMANIEGO, GEORGINA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0337474—.Date of Invoice: 5/27/2020 1111111111111IIIlIIII IIIII IIIII IIIII IIIII IIIII IIIII 111111111111111111111111 IN IIII <br /> 5/27/2020 1608 CLASS A COTTAGE FOOD-DIRECT SALES $ 155.00 <br /> Total for this Invoice $ , <br /> Payment Due Date6/2 /2020 <br /> TOTAL DUE this Billing Period $ 155.00 <br /> PAYMENT <br /> RECEIVED <br /> JUL 0 9 2020 <br /> SAN JOAQUIN COUNTY <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 /> 5254.rpt <br />