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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 /> <br /> <br /> is INVOICE with Your PAYMENT Facility IDLOOMEM—FA-00ENUMMOM <br /> 25177 <br /> Date Printed 5/3/2022 <br /> YOUNGBLOOD, STACEY RE : THE WOODEN SPOON BAKED GOODS <br /> THE WOODEN SPOON BAKED GOODS 245 DOUMA WAY <br /> 245 DOUMA WAY RIPON, CA 95366 <br /> RIPON, CA 95366 <br /> OWNER : YOUNGBLOOD, STACEY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0363666---Date ofInvoice: 1126/2022 ��������������������������������II������������������11111111111111111111RII1111111 <br /> 1/28/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PRO544291 S 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 3/2/2022 <br /> ATTENTION PAST DUE! <br /> YOUR HEALTH PERMIT Delinquent charges over <br /> FOR THE CURRENT YEAR 90 days! <br /> MAY NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS ARE <br /> PAID IN FULL <br /> TOTAL DUE this Billing Period $ 155.00 <br /> Important! Cottage Permits require application with every renewal annually. Please download and fill o e <br /> form at this link to be turned into EHD in order to receive your permit. <br /> httos://www.sigov.org/dei)artment/envhealth/form <br /> $ is5 5-1</zz <br /> eoWould 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: 'hhtt s://www.siaov.orcVdei3artmentienvhea[tWfees/online-fee-navment' <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 � )Ro '-q ii 7 cl I End of report <br />