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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 AR0046001 <br /> INVOICE <br /> Facility ID FA0024617 <br /> Date Printed 2/27/2019 <br /> <br /> <br /> <br /> <br /> OWNER : MORALES, PATRICIA <br /> Date Health <br /> rlacr`rin+inn <br /> I ..,...,,. �-- Amount <br /> Invoice# IN0319727---Date of Invoice: 2/27/2019 111111 11111 E 11111�1111 11111 1111�11111 11E 111 111 11M 1111 11EI 11111 1111�111 <br /> 2/27/2019 1608 CLASS A COTTAGE FOOD-DIRECT SALES $ 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 3/29/2019 <br /> TOTAL DUE this Billing Period $ 155.00 <br /> PAYMENT <br /> RECEIVED <br /> MAR 21 2019 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMLNI <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 /> 52ak.rpt <br />