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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTO'N AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0047094 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0025064 <br /> Date Printed 1/31/2023 <br /> POPE,AMBER RE : MS MAE'S SWEET WAY <br /> MS MAE'S SWEET WAY 1731 RAIL ST <br /> 1731 RAIL ST MANTECA, CA 95337 <br /> MANTECA, CA 95337 <br /> OWNER : POPE,AMBER <br /> Dale Health <br /> Program Description Amount <br /> Invoice# IN0376803---Date of Invoice: 12/1212022 111111111111111111111111 EII 111111111111111111111111111111111111111111111111 <br /> 12/12/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0544065 $ 186.00 <br /> Total for this Invoice I $ 186.00 <br /> 4Due /3 /2023SECOND NOTICENIMCE <br /> TOTAL DUE thi186 0T t OU FO PE WILL NOT W D Y N <br /> NEED TO COMPLETE AND RET RN THE RENEWAL FORMA D INCLUDE A LABEL bF E F <br /> CFO PRODUCTS. CFO RENEWAL FORM HERE: <br /> htt s://www.s' ov.or docs/default-source/environmental-health-documents/food-and-restaurants/efo-re istration- en Ittin <br /> 2-renewal-formpdf/sfvrsn=d950fb44 5 <hUps:Hecc02.safelinks.12rotection.outlook.com/� <br /> url=h s%3A%2F%2Fwww.s' ov.or %2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood-an -rests <br /> urants%2Fcfo-re istration- ermittin -renewal-form. f%3Fsfvrsn%3Dd950fb44 5&data=05%7001%7C'salwolke% Os' <br /> ov org%7C0d058e9dfbee4d8f10c308dab2233bdc%7C3cff5075176a400d860a54960a7c7e51%7C0%700%7063801816164 <br /> 0113088%7CUnknown%7CTW FpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJOlioiV2luMzliLCJBTil6Ikl haWwiLCJXVCI <br /> 6Mn0%3D%7C3000%7C%7C%7C&sdata=6 6hxT5 4bBY12ImM'7b53zNcmtPtD%2FYTA%3D&reserved= <br /> - - 0> <br /> You can return by mail to our de rtment at thea dress on the top ofyour invoice or email completed forms and <br /> _E <br /> P�l'�fn 11?01123 <br /> ( oil r q 21 <br /> Please make Checks PAYABLE to: 'El <br /> or <br /> Pay online at: 'httos:l/www.siaov.orddeoartmentlenvhealth/fees/online-fee-oavment' <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 100/6 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 report <br />