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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 AR0040873 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility 10 FA0022347 <br /> Date Printed 4/26/2021 <br /> <br /> <br /> <br /> <br /> OWNER : KATZAKIAN,CYNDI <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0349883--Date of Invoice: 312512021 VIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII/III IIIIII VIIIIIIIIIII <br /> 3/25/2021 1609 CLASS B COTTAGE FOOD-INDIRECT SALES $ 310.00 <br /> TOtalf.rthi ITZICa $ 310.00 <br /> Payment Due Date 4130/2021 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period 310. 0 <br /> �I V <br /> V 1 ppb di <br /> :,PEN QONpPPtMENt <br /> RPJH <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'httos://www.siaov.ora/department/envhealthlonline-Dayment' <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 End of report <br /> pRo538g� �v <br />