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SAN,JOAQIJIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0047099 <br /> INVOICE <br /> Return This INVOICE <br /> 2/25/2021 <br /> BILLBERRY, SHELLY RE : SHELLY'S SUGAR SHAK <br /> SHELLY'S SUGAR SHAK 1127 RUTLEDGE WAY <br /> 1127 RUTLEDGE WAY STOCKTON, CA 95207 <br /> STOCKTON, CA 95207 <br /> OWNER : BILLBERRY, SHELLY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0347600---Date of Invoice: 12/29/2020 11111111111111111 VIII VIII VIII VIII VIII VIII VIII VIII VIII 1111 11E VIII 1111 111 <br /> 12/29/2020 1608 CLASS A COTTAGE FOOD-DIRECT SALES $ 155.00 <br /> Total forthis Invoice $ 155.00 <br /> Payment Due Date 1/30/2021 <br /> TOTAL DUE this Billing Period $ 155.00 <br /> PAS� �vE� <br /> pppRECIA?E YOUR <br /> WE WOULDYA ' V-TODAY4 <br /> YOUR HATAFMW <br /> H �A <br /> R <br /> W1L�HE CURREW MFOR <br /> NOT SE ISSUED R <br /> AST OUE,QMOUNTs rn� <br /> P <br /> ARE PAID IN FULL <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'https://www.siaov.orgldepartment/envhealt[Vonfine-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 /> 52i4.rpt <br />