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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 /> Amount ID F AR0047355 <br /> INVOICELUMMEMMMOMMA <br /> Return This INVOICE with Your PAYMENT Facility ID FA0025177 <br /> Date Printed 1/29/2021 <br /> <br /> <br /> <br /> <br /> OWNER : YOUNGBLOOD, STACEY <br /> -Date-- - Health <br /> - Pfogram Description--- — --- - Amount <br /> Invoice# IN0348563---Date of Invoice: 112912021 X1111111111 Hill111111111111111111111 MEHill 111111ilill11111111111111111111 HillHill nil III <br /> 1/29/2021 1608 CLASS A COTTAGE FOOD-DIRECT SALES $ 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date12 <br /> TOTAL DUE this Billing Period 155.00 <br /> PAYMENT <br /> RECEIVED <br /> MAR 10 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 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 theInvoiceDate 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt IQ 126 (`q z11 <br />