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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HA-ELTON AVENUE <br /> STOCKTON,' CA 95205 <br /> Phcln®: (208)468-3420 <br /> Account ID AR0044942 <br /> <br /> <br /> rinted F 6/23/2021 <br /> Immommoommommod <br /> SAMANIEGO, GEORGINA RE : TEE TARTS CAKES <br /> TEE TARTS CAKES 1742 TASCA LN <br /> 1742 TASCA LN MANTECA, CA 95337 <br /> MANTECA, CA 95337 <br /> OWNER : SAMANIEGO, GEORGINA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0352959--Date of Invoice: 5/26/2021 IIIIII II II IIIIIIIIIIIII VIII VIII IIIIIIIIII VIII VIII VIII IIIIIIIIII VIII IIII IIII <br /> 5/26/2021 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0542091 $ 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 6/3 21 <br /> TOTAL DUE this Billing Period <br /> Cottage Permits require application with every renewal annually. Please download and fill out the form at this link to be turned into EHD. <br /> do reg-permitting renewal form.Ddf Wl=-ov.ore) <br /> sP Era°ao\rvn E�PN Nva <br /> v\ ,P <br /> NEP1111011 <br /> eoWould you like Invoices electronically or need to update the email 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:llwww.siaov.orddeuartment/envhealthlonline-payment' <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 /> 5254.rpt End of reports <br />