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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE v <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE <br /> COPY Account ID AR0045818 <br /> Facility ID FA0024540 <br /> Date Printed 2/27/2019 <br /> ROGERS, ELWANDA RE : TEELICIOUS TREATS CUSTOM CAKES & <br /> TEELICIOUS TREATS CUSTOM CAKES & SWEETS <br /> SWEETS 4749 WOODHOLLOW AVE <br /> D RUSSO CT STOCKTON, CA 95206 <br /> STOCKTON, CA 95212 OWNER : ROGERS, ELWANDA <br /> Date Health <br /> rrogran-1 Dcscription Amount <br /> Invoice# IN0319144---Date of Invoice: 1/28/2019 11111111111111 11111111 VIII VIII VIII VIII VIII VIII VIII VIII 1111111111 VIII IIII IIII <br /> 1/28/2019 1608 CLASS A COTTAGE FOOD-DIRECT SALES $ 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 2/27/2019 <br /> TOTAL DUE this Billing Period $ 155.00 <br /> PAYMENT <br /> RECEIVED <br /> MAR 2 7 2019 <br /> SAN JOAO UIN COUNTY <br /> ENVIRONMENTAL <br /> RFALTN 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 /> 5254.rpt �k�21 tY <br />