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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 /> Account ID AR0047094 <br /> INVOICE <br /> Facility ID FA0025064 <br /> Return This INVOICE with Your PAYMENT <br /> Date Printed 2/1/2021 <br /> <br /> <br /> <br /> <br /> OWNER : POPE,AMBER <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0347598_--Date of Invoice: 121291220 11111 X1111111111111 IN IIIIII X1111 1111 IN <br /> 12129!2020 1608 CLASS A COTTAGE FOOD-DIRECT SALES $ 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 1130/2 1 <br /> TOTAL DUE this Billing Period $ 155.00 <br /> ' f <br /> Ott <br /> c.b C it 113317g '°13317g <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 /> 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.rpi ?�-o"OvS S <br />