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SAN JOAQUIN COUNTY P n 5 I, { 3s. Page 1 <br /> EN\IRONMENTAL HEALTH DEPARTMENT V {- <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID 1 AR0046778 <br /> LMMUMMMMMA <br /> INVOICE <br /> Facility ID FA0024932 <br /> Return This INVOICE with Your PAYMENT <br /> Date Printed 8/31/2020 <br /> <br /> <br /> <br /> <br /> OWNER : MADRID, PATRICIA <br /> Date Health Amcunt <br /> Program Doscrphon - I <br /> Invoice# IN0339894—Date of Invoice: 8/27/2020 IIII III (IIII VIII VIIII IIIIII IIIIIIII IVII VII VIIII IIIIII IVII IIIIIII <br /> 8/27/2020 1608 CLASS A COTTAGE FOOD-DIRECT SALES $ 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 9/3012020 <br /> TOTAL DUE this Billing Period $ 155.00 <br /> PAYMENT <br /> RECEIVED <br /> OCT 0 1 2020 <br /> SAN lonnmry COUNTY <br /> [NVI HONMENrFI <br /> I IrAll11 Ul VANI MLN I <br /> Please make Checks PAYABLE to: 'EHD' <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 />