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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 AR0048794 <br /> INVOICEImmommommommomm <br /> Return This INVOICE with Your PAYMENT Facility 10 LMMMMMOMMMM <br /> FA0025791 <br /> Date Printed F 12/31/2020 <br /> BURFORD, FRANCES RE : VB SHORTBREAD COOKIES <br /> VB SHORTBREAD COOKIES 1267 LLOYD THAYER CIR <br /> 1267 LLOYD THAYER CIR STOCKTON,CA 95206 <br /> STOCKTON, CA 95206 <br /> OWNER : BURFORD, FRANCES <br /> Date Health <br /> Proyrar. Description Am0,mf <br /> Invoice# IN0347898--Date of Invoice: 12/30/2020 1111111111111111111111111 IN 1111111111111111111 <br /> 12/30/2020 1609 CLASS B COTTAGE FOOD-INDIRECT SALES $ 310.00 <br /> Total for this Invoice $ 310.00 <br /> Payment Due Date 113012021 <br /> TOTAL DUE this Billing Period $ 310.00 <br /> <br /> <br /> <br /> <br /> <br /> ,l <br /> 11�21�► a1Gq' <br /> l � <br /> Please make Checks PAYABLE to: 'EHD' <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 <br />