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SARJQAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AFt0048665 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility 11) FA0025724 <br /> Date Printed 1/20/2021 <br /> <br /> <br /> <br /> <br /> OWNER : WILLIAMS, MEACHELLE J <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0347611 ---Date of Invoice: 1212912020 11111[111111111 11111 11111 RE 11111 11111 11111 1111 111111 11111 11111111 <br /> 12/29/2020 1808 CLASS A COTTAGE FOOD-DIRECT SALES $ 0 <br /> Total forth is Invoice $ 155.00 <br /> Payment Due Date 113012021 <br /> TOTAL DUE this Billing Period $ 155.00 <br /> f,ld <br /> jos <br /> wf_4 <br /> Q <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 /> 5254xp1 <br />