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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />Account ID <br />INVOICE <br />Return This INVOICE with Your PAYMENT Facility ID <br />Dale Printed <br /> <br /> <br /> <br /> <br />OWNER: DUENAS LATICIA <br />Page 1 <br />AR0048351 <br />LMMMEMEMMMA <br />FA0025591 <br />9/30/2020 <br />DateHealth <br />Program Description _. .. _ - - Amount <br />Invoice # IN0340595 -- Date of Invoice: 9/2812020 <br />9/28/2020 1609 CLASS B COTTAGE FOOD -INDIRECT SALES <br />IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br />$ 310.00 <br />Total forthia Invoice <br />Payment Due Date <br />TOTAL DUE this Billing Period <br />RE EIVED <br />OCT 16 2010 <br />SANJONVIRON <br />OAQUIN <br />HEALTH DE ARTMENT <br />Please make Checks PAYABLE to: 'EHD' <br />IS 310.00 <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 100/6 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 />s2s4.rnt S <br />