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SAN JOAQUIN COUNTY / �v` 5 4f(� 3`Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> <br /> <br /> lity ID FA0025219 <br /> Date Printed 2/4/2022 <br /> COSTA,AMY RE : NUTS FOR YOU <br /> NUTS FOR YOU 411 THIRD ST <br /> 411 THIRD ST RIPON, CA 95366 <br /> RIPON, CA 95366 <br /> OWNER : COSTA,AMY J <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0362309---Date of Invoice: 11/30/2021 1111111111111111 E Hill 11111111111 Hill11111Hill 111111111111111111IN1111111Hill lillIll <br /> 11/30/2021 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PR0544366 $ 310.00 <br /> Total for this Invoice $ 310.00 <br /> Payment Due Date 12/30/2021 <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 310.00 <br /> Important! Cottage Permits require application with every renewal annually. Please download a d fill out the <br /> form at this link to be turned into EHD in order to receive your permit. <br /> https://www.sigov.org/department/envhealth/form s <br /> PnJ #310 2/2-1122 <br /> Love If- 139 32°178 .7 <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: 1 <br /> Email 1 <br /> Email 2 <br /> Please make Checks PAYABLE to: 'EHD'or <br /> Pay online at: 'httos://www.sioov.ora/department/envhealtWfeestonline-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 />