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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 AR0048350 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0025590 <br /> Date Printed 1/29/2021 <br /> I <br /> MILLER, LORI RE : PURE FR <br /> <br /> PO BOX 230 TRACY, CA 95376 <br /> TRACY, CA 95376 <br /> OWNER : MILLER, LORI <br /> Date Health <br /> P.—Og' Descr!Ption Arnount <br /> Invoice# IN0340594---Date of Invoice: 9/28/2020 11111 11111 11111 IN 11 111 11111 1111 IN <br /> 9/28/2020 1608 CLASS A COTTAGE FOOD-DIRECT SALES $ 1 5. <br /> Total for this Invoice $ 155.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 155.00 <br /> PAYMENT <br /> AS1- DUE! RECEIVED <br /> WE WOULD APPRECIATE <br /> R CIATE YOUR MAR 01 2021 <br /> PAYMENT <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> YpUR H90E�nnNm <br /> TSE C ; <br /> KILL IrpT�RRE�'r 'FA FOR <br /> PASTflU,IS9`p U� <br /> A�pE PA/0 <br /> �pA10jj1VT ToL <br /> fiV FULL <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 /> 5254}Tpt <br />