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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 AR0039307 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FAooz,s7, <br /> Date Printed 2/25/2021 <br /> <br /> <br /> <br /> <br /> OWNER : FEDOR, PATRICK& HEIDI <br /> Dale Health <br /> Program Description - Amount <br /> Invoice# IN0347863.—Date of Invoice: 12/3012020 IIIIIIIIIIIIIIIIIIIIIVIIIIIIIIIIIIIIIIIIIIIIVIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> 12/30/2020 1608 CLASS A COTTAGE FOOD-DIRECT SALES $ 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 113012Q21 <br /> TOTAL DUE this Billing Period 155.00 <br /> PAST [)UE! <br /> WE W�Ay� �1r TO®A`ll YOUR <br /> ffEENnO.N <br /> YOUR HEALTH F�'-AMIT FOR <br /> THE CURRENT YEAR <br /> WILL NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS <br /> PAYMENT ARE PAID IN FULL <br /> RECEIVED <br /> i <br /> MAR 15 '"29 <br /> ENVIRONMERIN <br /> n(ALrI Dr PRHIN� + <br /> t <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'httos://www.sioov.orNdeoartment/envhealtWonline-Davment' <br /> Penalties will be added to all Permit Fees For HMBP Fees For all SERVICE FEES <br /> at the Rate of 1000/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 QIP-0 531 U29 <br />