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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 I`_ HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0047452 <br /> <br /> <br /> Date Printed 11/28/2022 <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# IN0374605---Date of Invoice; 10/14/2022 II II I I I II II II II I IV I V I V IIV I VIII III IIIIIIIIIIIII <br /> 10/14/2022 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PR0544366 $ 312.00 <br /> Total for this Invoice $ 312.00 <br /> 11/3012022 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period312.00 <br /> ATTENTION! Y WI NOT RENEWED BY N AY NG E VO C <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 s'aov ory/docs/default-source/environmental-health-documents/food-and-restaurauts/efo-registration-12ermittin <br /> e-renewal-form.pdf9sfvrsn=d950tb44 5 <https:Hi4cc02.safelinks.protection.outlook.com/? <br /> url=https%3A%2F%2Fwww s)pov oriz%2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood-and-resta <br /> urants%2Fcfo-registration-permitting-renewal-fonn.pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7C0I%7Cjsalwolke%40so <br /> ov ora%7COd058e9dfbee4d8fl Oc308dab2233bdc%7C3cff5075176a400d860a54960a7c7e5l%7CO%7CO%7C63801816164 <br /> 01130880/u7CUnknown%7CTWFpbGZsb3d8eyJ W leoiMC4wLjAwMDAiLCJOIjoiV2luMzliLCJBTiI61k 1 haWwiLCJXVCI <br /> 6Mn0%3 D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tyggO4bBY 12ImMi 7b53zNcmtPtD%2FYTA%3D&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 /> l lj � 312_ <br /> Conf IS 3331 .22 <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'https:llwww.siaov.orgldeoartmenVenvhealthlfees/online-fee-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 End of report <br />