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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 Your PAYMENT Facility ID FA0023549 <br /> Date Printed 8/4/2023 <br /> QUESADA, MARIA LUCRECIA 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# IN0381372---Date of Invoice: 5/30/2023 11111111 EIII III IIIII IIIII IIIII 11111 11111 11111 11111 11111 11111 IN IIIIII IIIII IIII IN <br /> 5/30/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0541125 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> Payment Due Date 6/30/2023 <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 $ 186.00 <br /> ATTENTION'. YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INVOIC OU <br /> NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONE OF YOUR <br /> CFO PRODUCTS. CFO RENEWAL FORM HERE: <br /> https•//www sjgov org/docs/default-source/environmental-health-documents/food-and-restaurants/cfo-registration-permittin <br /> g-renewal-form.pdf?sfvrsn=d950fb44 5 <https://gcc02.safelinks.protection.outlook.com/? <br /> url=https%3A%2F%2Fwww sit?ov.org%2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood-and-resta <br /> urants%2Fcfo-registration_permitting-renewal-form pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7COI%7Cjsalwolke%40sa <br /> ov or2%7COdO58e9dfbee4d8f10c308dab2233bdc%7C3cff5075176a400d86Oa5496Oa7c7e5l%7CO%7CO%7C63801816164 <br /> 0113088%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wL6AwMDAiLCJOIjoiV21uMz1iLCJBTiI6Ikl haWwiLCJXVCI <br /> 6MnO%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tyga04bBY121mMj7b53zNcmtPtD%2FYTA%3 D&reserved= <br /> 0> <br /> You can return by mail to our department at the address on the top Of your invoice or email completed forms and <br /> c,,l �1 _ 18 G .-1/ 3 01,3 <br />