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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />Page 1 <br />INVOICE <br />Return This INVOICE with Your PAYMENT <br />Account ID <br />Facility ID <br />Date Printed <br />rAR0042581 I <br />FA0023168 <br /> <br />TELLY, NANCI A <br />NBT - NOTHING BUT TREATS <br />1332 W WOODWARD AVE <br />MANTECA, CA 95337 <br />RE: NBT - NOTHING BUT TREATS <br />1332 W WOODWARD AVE <br />MANTECA, CA 95337 <br />OWNER: TELLY, NANCI A <br />Date Health <br />Program Description Amount <br />Invoice # IN0383223 --- Date of Invoice : 8/29/2023 <br /> 1111111111 1111111111111111111111111111111111111 11111111111111111111111111111111111 <br />8/29/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES <br /> PRO540510 186 00 <br />Total for this Invoice <br />Payment Due Date 9/30/2023 <br />SECOND NOTICE <br />/Th <br />/186.00 TOTAL DUE this Billing Period' <br /> <br />ATTENT1 S 1St YS R CFO PERMIT WILL NOT BE R NEW D BY ONLY PAY! ' THE INVOI E Y I U <br />NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONES YO UK <br />CFO PRODUCTS. CFO RENEWAL FORM HERE: <br />https://www.sjgov.org/department/envhealth/forms <br />You can return by mail to our department at the address on the top of your invoice or email completed forms and <br />confirmation of payment to: jcastaneda@sjgov.org <mailto: jcastaneda@sjgov.org> <br />1Bco cv(i4l2-3 <br />00P <br />Please make Checks PAYABLE to: 'EHD' <br />or <br />Pay online at: 'httos://www.sjgov.orgidepartment/envhealth/feesionline-fee-oayment' <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% <br /> 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 />186.00 <br />5254.rpt End of report