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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> COPYAccount ID AR0042581 <br /> INVOICE <br /> Facility ID FA0023168 <br /> LMEMMOMMEMMEM <br /> Date Printed 8/31/2018 <br /> TELLY, NANCI A RE : NBT- NOTHING BUT TREATS <br /> NBT-NOTHING BUT TREATS 912 JASMINE HOLLOW DR <br /> 912 JASMINE HOLLOW DR MANTECA, CA 95337 <br /> MANTECA, CA 95337 <br /> OWNER : TELLY, NANCI A <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0310645--Date of Invoice: 813012018 IIIIIIIIIIVIIIVIIVIVIIVIIVIIIVII VIIVIIIIIIII VIIIIIII IIII <br /> 8/30/2018 1608 CLASS A COTTAGE FOOD-DIRECT SALES $ 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 913012018 <br /> TOTAL DUE this Billing Period $ 155.00 <br /> PAYMENT <br /> RECEIVED <br /> OCT It 2018 <br /> ,q,JOAQWN COONIv <br /> ENV'RON. lA' <br /> REnLT" ,,,1111En. <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 100/6 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 />