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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 /> INVOICE <br /> COPY Account ID AR0046778 <br /> Facility ID FA0024932 <br /> Date Printed 8/29/2019 <br /> <br /> <br /> <br /> <br /> <br /> <br /> Prcgram Description Amount <br /> I <br /> Invoice# IN0325376---Date of Invoice: 8/29/2019 1111 11111 11111 11111 111E 11111 11111 IN 11EI 1EI 1111111 <br /> 8/29/2019 1608 CLASS A COTTAGE FOOD-DIRECT SALES S 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 9/28/2019 <br /> TOTAL DUE this Billing Period $ 155.00 <br /> PAYMENT RECEIVED <br /> SEP 2 5 2019 <br /> SAN JOAQUIN COUNTY <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 /> ;?54.rpt <br />