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OENCOUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT 1r`I`J 1�ry J Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> ACCOunt ID FA—ROO47155 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Faci'ir <br /> <br /> <br /> NE'S WONDER COOKIES 166 HALLER CT <br /> 166 HALLER CT RIPON, CA 95366 <br /> RIPON, CA 95366 <br /> OWNER : MACIAS-CAMPOS, DAVID III <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0377294—Date of Invoice: 1212912022 II I I I I V II VI VI VI I VIII VI VIII VII VIII/II /III 1111111111111 <br /> 12/29/2022 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PRO544133 $ 312.00 <br /> Totalfor this Invoice $ 312.00 <br /> 1130/ 023 <br /> TOTAL DUE this Billin312.00 <br /> ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INVO U <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 /> https://www seaov org/docs/default-source/environmental-health-documents/food-and-restaurants/cfo-revistration-permittin <br /> g-renewal-form.pdf?sfvrsn=d950tb44 5 <https://gcc02.safelinlcs.12rotection.outlook.com/? <br /> url=https%3A%2F%2Fwww.sj gov.org%2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood-and-resta <br /> urants%2Fcfo-registration-permitting-renewal-form.pdf%3Fsfvrsn%3Dd950fb44 5&data=050/o7COI%7Cjsalwolke%4Osi <br /> ov org%7COdO58e9dtbee4d8flOc308dab2233bdc%7C3cff5075176a400d86Oa5496Oa7c7e51°/n7C0°/u7C0°/u7C63801816164 <br /> 0113088%7CUnknown%7CT WFpbGZsb3d8eyJ WljoiMC4wL,*AwMDAiLCJOIjoiV2luMzliLCJBTil6lk I haWwiLCJX VCI <br /> 6MnO%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tygQO4bBY 121mMj7b53zNcmtPtD°/o2FYTA%3 D&reserved= <br /> 0> <br /> You can return by mail to our department at the address on the top of your invoice or email completed forms and <br /> PAYMENT <br /> RECEIVED <br /> JAN 2 3 2023 <br /> SAN JOA°NIN COUNTY <br /> ENVIRONMENTAL <br /> ULALTRUEPARTMEN1 <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'https://www.siaov.oralder)arimenVenvhealth/fees/online-fee-Dayment <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 report <br /> PIz0�Ui39 S <br />