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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 AR0047155 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID PAoozSoss <br /> Date Printed 12/31/2020 <br /> <br /> <br /> <br /> <br /> OWNER : MACIAS-CAMPOS, DAVID III <br /> Dale Health <br /> rrcgram Description Amount <br /> Invoice# IN0347884---Date of Invoice: 12/3012020 VIII IIIIII III VIII VIII VIII VIII VIII VIIIVIII VIIIVIII IIII IIIIII VIIIIIII IIII <br /> 12/30/2020 1609 CLASS B COTTAGE FOOD-INDIRECT SALES $ 0.00 <br /> Total for this Invoice $ 310.00 <br /> Payment Due Date 1130/2021 <br /> TOTAL DUE this Billing Period $ 310.00 <br /> 2� L0 �2 <br /> 110 0 <br /> PAYMENT <br /> RECEIVED <br /> JAN 2 9 2021 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> TitJ 4 HEALTH DEPARTMENT <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 1000/,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 ??Al 112 <br />