Laserfiche WebLink
SAN JOPage 1 <br /> N COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account lD AR0047155 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FAo025MME <br /> Date Printed F 12/29/2021 <br /> lammommomommommoms <br /> <br /> <br /> <br /> <br /> OWNER : MACIAS-CAMPOS, DAVID III <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0363181 --Date of Invoice: 12/2912021 111p111111111p11111p11pIIIN <br /> 12/29/2021 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PRO544133 $ 310.00 <br /> Total for this Invoice $ 310.00 <br /> 20 <br /> TOTAL DUE this Billing Period 310.00 <br /> Important! Cottage Permits require application with every renewal annually. Please download and out th <br /> form at this link to be turned into EHD in order to receive your permit. <br /> httios:/Iwww.sigov.org/dei)artment/envhealth/forms <br /> RETE AFD <br /> SANJoN272022 <br /> QUI <br /> HEgLOUNTY <br /> Ty pEPgR ENT <br /> \/`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:'https://www.sFqov.org/department/envhealth/online-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 S End of report <br />