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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 AR0048415 <br /> INVOICE <br /> Facility ID FA0025610 <br /> Date Printed 12/5/2019 <br /> <br /> <br /> <br /> <br /> OWNER : HARRIS, CRYSTAL & BINDER, TAMIKA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0332830---Date of Invoice: 12/5/2019 11111111111 H 11111�1111 11111 111 11111 11111 11111 11111 11111 1111 111111 11111 1111 IN <br /> 12/5/2019 1609 CLASS B COTTAGE FOOD-INDIRECT SALES $ 310.00 <br /> Total for this Invoice $ 310.00 <br /> Payment Due Date 1/4/2020 <br /> TOTAL DUE this Billing Period $ 310.00 <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 /> i254.rp1 <br />