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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> ST:OCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0048703 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FAo025759 <br /> Date Printed 12/31/2020 <br /> <br /> <br /> <br /> <br /> OWNER : BRUNS, KRISTIN <br /> Date Health <br /> Program Description _ Amount . <br /> Invoice# IN0347893---Date of Invoice: 12/3012020 11111 1111111111 11111 11111 IN 11111111111 IN 1111 <br /> 12/30/2020 1608 CLASS ACOTTAGE FOOD-DIRECT SALES $ 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 1130 1 <br /> TOTAL DUE this Billing Period $ 155.00 <br /> PAYMENT <br /> RECEIVED <br /> JAN 19 2021 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 1000/6 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 p0bv 5333 Is <br />