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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 9 <br /> <br /> <br /> INVOICE <br /> Facility ID FA0023168 <br /> Date Printed12/13/2019 <br /> TELLY, NANCI A RE : NBT- NOTHING BUT TREATS <br /> NBT- NOTHING BUT TREATS 1332 W WOODWARD AVE <br /> 1332 W WOODWARD AVE MANTECA, CA 95337 <br /> MANTECA, CA 95337 <br /> OWNER : TELLY, NANCI A <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0325363---Date of Invoice: 8/29/2019 111111 1111 h 11111 11111 11111 11111 1111 11111 11111 11111 11E 1111 11111�1111�1111 IN <br /> 8/29/2019 1608 CLASS A COTTAGE FOOD-DIRECT SALES $ 155.00 <br /> 11/15/2019 9994 PERMIT FEE PENALTY $ 155.00 <br /> Total for this Invoice $ 310.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ .00 <br /> T,>,L <br /> PAYMENT RECEIVED <br /> DEC 12 2019 <br /> SAN JGAI�UI�� %:l.i;viY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <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 /> 52;4.rpt ?p 0 <br /> �014ji 0 <br />