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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 AR0048668 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0025727 <br /> Date Printed 2/9/2021 <br /> <br /> <br /> <br /> <br /> OWNER : HEWITT, NICOLE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0347614---Date of Invoice: 12/29/2020 II III II II I I V II V I VI VIII VIII VI I VII I III I III I I III I VIII IIII IIII <br /> 12/29/2020 1608 CLASS A COTTAGE FOOD-DIRECT SALES $ 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 1130 1 <br /> TOTAL DUE this Billing Period eo <br /> 12671/3 6 �"® <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'httos://www.siciov.orcVdei)artmentlenvhealttVonline-i3ayment' <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 />