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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 AR0048577 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0025690 <br /> .. Date Printed 12/31/2020 <br /> MANESS, MELISSA RE : THE COOKIE NURSE <br /> THE COOKIE NURSE 5155 DOVERTON DR <br /> 5155 DOVERTON DR STOCKTON,CA 95219 <br /> STOCKTON,CA 95219 <br /> OWNER : MANESS, MELISSA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0347605--Date of Invoice: 12/29/2020 111111111111111111111111 IIIIIIIIIIIIIIINIIIIIIIIIIII III IIIIHIIII IN 1111 <br /> 12/29/2020 1608 CLASS A COTTAGE FOOD-DIRECT SALES $ 155.00 <br /> Total forthis Invoice <br /> Payment Due Date 1/30/202 <br /> TOTAL DUE this Billing Period $ 155.0 <br /> PAYMENT <br /> RECEIVED <br /> JAN 2 9 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 the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> i2 4.rpt <br />