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SAN JOAQUIN GUUN I­Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKI'ON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0046778 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT raciiityID FA0024932 <br /> Date Printed 9/29/2023 <br /> MADRID, PATRICIA RE : CASTLE OF CANDY <br /> CASTLE OF CANDY 1433 W LOCKEFORD ST <br /> 1433 W LOCKEFORD ST LODI, CA 95242 <br /> LODI, CA 95242 <br /> OWNER : MADRID, PATRICIA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0383220---Date of Invoice: 8/29/2023 IIIIIII IIIIII III VIII VIII VIII IIID VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 8/29/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0543849 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> Payment Due Date 9/30/2023 <br /> SEGUNU NU 1 AV <br /> TOTAL DUE this Billing Period $ , 186.00 <br /> ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INVOICE. YOU <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 /> hqps://www.sijzov.orWdepartment/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: icastanedaksigov org <mailto:jcastanedaL&,si og v.org> <br /> RECMENT <br /> EIVED <br /> NOV 13 2023 <br /> SAN JOAQU/N C UNTy <br /> ENVIRONHEALTH DE AR <br /> TM NT <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'httgs•//www sigov or4dep)artmentienvhealttVfeesioniine-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 /> End ofrepon <br />