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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868.E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0047155 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0025096 <br /> Date Printed 3/4/2024 <br /> MACIAS-CAMPOS, DAVID III RE : EL NENE'S WONDER COOKIES <br /> EL NENE'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# IN0390781 ---Date of Invoice: 1212112023 11111 11111 11111 1111 111111 IRI IIII�III <br /> 12/21/2023 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PR0544133 $ 486.00 <br /> Total for this Invoice $ 486.00 <br /> 1/30/2024 <br /> ATTENTION PAST DUE! <br /> YOUR HEALTH PERMIT WE WOULD APPRECIATE YOUR <br /> PAYMENT TODAY! <br /> FOR THE CURRENT YEAR <br /> MAY NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS ARE <br /> PAID IN FULL <br /> TOTAL DUE this Billing Period $ 486.00 <br /> ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE 1NV 11C OU <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 /> haps://www.siyov.org/department/eilvliealtil/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: jcastaneda n sigov.org<maiIto:jcastaneda @ sigov.or_> <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'https://www.sjgov.orutdepartment/envhealttvfees/oniine-fee-Daayment' <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 />