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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 /> INVOICE <br /> Return This INVOICE with Y <br /> <br /> <br /> A RE : CRYSTAL ROSE CONFECTIONERY <br /> CRYSTAL ROSE CONFECTIONERY 3034 CELEBRATION DR <br /> 3034 CELEBRATION DR LODI, CA 95242 <br /> LODI, CA 95242 <br /> OWNER : QUESADA, MARIA LUCRECIA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0367247---Date of Invoice: 5127/2022 11111111111111111111IN11111111111111111111111111111IN <br /> 5/27/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PRO541125 $ 155.00 <br /> Total for[his Invoice $ 155.00 <br /> Payment Due Date 6/30/2022 <br /> ATTENTION PAST DUE! <br /> YOUR HEALTH PERMIT Deliquent charges over <br /> FOR THE CURRENT YEAR 90 days! <br /> MAY NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS ARE <br /> PAID IN FULL <br /> TOTAL DUE this Billing Perio $ 155.00 <br /> Cottage Permits require application with every renewal annually. Please download and fill out the form at this link to b turned into <br /> httos://www.sigov.org/department/envhealthlforms <br /> V1 It j t 15 !g- I n / <br /> cof,� Foil � 9�3 <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'httos://www.si(iov.org/dei)artment/envhealth/fees/online-fee-uavment' <br /> Penalties will be added to all Permit Fees For HIABP 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.rpt F r(-6"'l 1 1 12,S— End of report <br />