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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 9520 <br /> <br /> <br /> INVOICE <br /> Facility ID FA0025689 <br /> Date Printed 1/10/2020 <br /> ORTIZ, MAKAYLA RE : MAKAYLA'S SWEET CREATIONS <br /> MAKAYLA'S SWEET CREATIONS 16659 ENGLISH COUNTRY TR <br /> 16659 ENGLISH COUNTRY TR LATHROP, CA 95330 <br /> LATHROP, CA 95330 <br /> OWNER : ORTIZ, MAKAYLA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0333599---Date of Invoice: 111012020 �111111 11111 h 11111 11111�1111 11111 11111 11111 11111 11111 11M 1111 11EI 11111 1111�111 <br /> 1/10/2020 1608 CLASS A COTTAGE FOOD-DIRECT SALES $ 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 2/9/2020 <br /> TOTAL DUE this Billing Period $ 155.00 <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 /> 52i4.rpt <br />