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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 AR0043460 <br /> INVOICELMEMONOMMOMMUM <br /> Return This INVOICE with Your PAYMENT Facility ID FA0023549 <br /> Date Printed 8/13/2021 <br /> <br /> <br /> <br /> <br /> OWNER : QUESADA, MARIA LUCRECIA <br /> Date Health <br /> Program Description Amount <br /> Invoice:/ IN0352960---Date ofInvoice: 5/26/2021 11111111111111111111111 IN <br /> 5/26/2021 1608 CLASSACOTTAGE FOOD-DIRECT SALES PR0541125 $ 155.00 <br /> Total forth!is Invoice $ 155.00 <br /> Payment Due Date 6/30/2021 <br /> ATTENTION PAST DUE! <br /> YOUR HEALTH PERMIT WE WOULD APPRECIATE YOUR <br /> PAYMENT TODAY! <br /> FOR THE CURRENT YEAR <br /> MAY NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS ARE <br /> PAID IN FULL <br /> TOTAL DUE this Billing Period &iH <br /> Cottage Permits require application with every renewal annually. Please download and fill out the format this link to be tu <br /> https://www.sigov.org/ui)loadedfiIes/sic/departments/ehd/forms/cfo%2Oree-i)ermittine%20renewal%20form.odf <br /> P",jn 4 � 5-s 8�o�z1 <br /> dont <br /> eo <br /> Would you like Invoices electronically or need to update th�ail address for this account?Fill out the <br /> form below or Email us at EH-Invoices@sjgov.org with the information with up to 2 email addresses: <br /> Email 1 <br /> Email 2 <br /> Please make Checks PAYABLE to: 'EHD'or <br /> Pay online at: 'httos://www.siaov.or�departmentlenvhealttVonlineoavment/lwww.siaov.or�departmentlenvhealttVonline-I)avmene <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 6001 Days after the Invoice Date and each 30 Days thereafter <br /> P5254.rpt �_O r3--,-A 11 2 J End of report <br />