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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 AR0047225 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0025119 <br /> Date Printed 3/19/2021 <br /> <br /> <br /> <br /> <br /> OWNER : EVANOFF,AMBER <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0347889---Date of Invoice: 12130/2020 I1III1IVII11IVII111VIIVIVIIVI 11111111111111111111111 <br /> 12/30/2020 1608 CLASS A COTTAGE FOOD-DIRECT SALES $ 155.00 <br /> Total for this Invoice $ 115�5.— <br /> Payment Due Date x/30/2021 <br /> TOTAL DUE this Billing Period $ 155.00 <br /> tic°` p <br /> L°g9eo� <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'hfti)s://www,siaov.ora/department/envhealttVonline-oavmenf <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 100/. 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 ./tw�k \'t <br />