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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> <br /> <br /> <br /> <br /> <br /> <br /> 125 SEA GULL CT RIPON, CA 95366 <br /> RIPON, CA 95366 <br /> OWNER : ASIRE, SERENE <br /> Date Health <br /> I <br /> grogram Description. Amount <br /> Invoice# IN0332795---Date of Invoice: 11/26/2019 11111111 Hill III IIIII X1111�1111 11111 11111 11111 111 11111 111111111 111111 11111 1111 IN <br /> 11/26/2019 1608 CLASS A COTTAGE FOOD-DIRECT SALES S 155.00 <br /> Total for this Invoi $ 155. 0 <br /> Payment Due Date 12/27/201 <br /> TOTAL DUE this Billing Period $ 155.00 <br /> pAyMENT RECEIVED <br /> DEC 2 2019 <br /> SAN JOAQU1N OOUNTI <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 /> ,,,-t ri„ ( jr�-1k�0U <br />