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SAN JOAQUIN COUIyTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID F AR0040 <br /> <br /> <br /> rinted 3/21/2022 <br /> DALE, GEORGE M RE : HONEYDALE BEEKEEPING <br /> HONEYDALE BEEKEEPING 7703 WOODSIDE DR <br /> 7703 WOODSIDE DR. STOCKTON, CA 95207 <br /> STOCKTON,CA 95207 <br /> OWNER : DALE, GEORGE M <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0364730---Date of Invoice: 3121/2022 11111111111111111111 IN 111111111111111 IN <br /> 3/21/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0538943 $ 155.00 <br /> Total forth is Invoice I $ 155.00 <br /> 4 <br /> TOTAL DUE this Billing Period $ 155.00 <br /> Important! Cottage Permits require application with every renewal annually. Please download and fill out the <br /> form at this link to be turned into EHD in order to receive your permit. <br /> htti)s://www.siFov.org/dei)artment/envhealth/­form <br /> 2 ;�12,--3 Perm. �e�s <br /> � Acrvmo f Alred <br /> — VPrm f IlSSael�J' ©K per insloeclo; <br /> \� 101,7 SO\ ��'0 <br /> VL J Would you like Invoices electronically or need to update the email address for this account? Fill out the <br /> form below 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://www.sjgov.orcVdepartmentlenvhealtlVfees/online-fee-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.rp1 End of report <br />