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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 to AR0045539 <br /> INVOICE <br /> Return This INV <br /> <br /> <br /> QUASHNICK, JULI A RE : MY NANA'S COOKIES <br /> MY NANA'S COOKIES 151 MOKELUMNE RIVER DR <br /> 151 MOKELUMNE RIVER DR LODI, CA 95240 <br /> LODI, CA 95240 <br /> OWNER : QUASHNICK, JULI A <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0376997—Date of Invoice: 1211212022 1111111111111111111111111IN <br /> 12/12/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PRO542487 S 186.00 <br /> Totalfor[his Invoice $ 186.00 <br /> 1/ 12Q23 <br /> TOTAL DUE this Billing Period $ 6.00 <br /> ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INV 1 E <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 /> hos://www sjgov org/docs/default-source/environmental-health-documents/food-and-restaurants/cfo-registration-pennittin <br /> g-renewal-form pdPsfvtsn=d950fb44 5<https•//gcc02 safelinks protection outlook comb <br /> url=https%3A%2F%2Fwww si2ov org%2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood-and-recta <br /> urants%2Fcfo-registration-permitting_renewal-form pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7C01%7Cisalwolke%40sie <br /> ov org%7C0d058e9dfbee4d8f10c308dab2233bdc%7C3L'ff5075176a400d860a54960a7c7e5l%7C0%7C0%7C63801816164 <br /> 0113088a/u7CUnknown%7CTWFpbGZsb3d8eyJWlioiMC4wLiAwMDAiLCJOlioiV2luMzIiLCJBTil6Ikl haWwiLCJXVCI <br /> 6Mn0%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tyggO4bBY12ImMi7b53zNcmtPtD%2FYTA%3D&reserved= <br /> 0> <br /> You can return by mail to our department at the address on the top of your invoice or email complete forms and <br /> RECE QED <br /> DEC 21 2022 <br /> SAN JOAQU/N COUN <br /> HEALTt RDE A N rAL <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'httos,l/www sioov orddeoartmenVenvhealttVfees/online-fee-Dayment' <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 /> End of repon <br />