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VW, ,NCOUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Acco <br /> - FA0025374 <br /> Return This INVOICE with Your PAYMENT YID r� <br /> Date Printed 5/31/2022 <br /> GUPTA, MAMTA RE : MASALABLEND <br /> MASALA BLEND 2127 SADDLEBROOK ST V <br /> 2127 SADDLEBROOK ST STOCKTON, CA 95209 <br /> STOCKTON, CA 95209 <br /> OWNER : GUPTA, MAMTA <br /> Date Health <br /> Program Description Amount <br /> Invoice# ING367259---Date ofInvoice: 5/27/2022 III IIIIIIIVIIVIVIVIIVIIIVIVIIVIIVIIIIIIIIIIIIIIIIIIIII <br /> 5/27/2022 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PRO544635 $ 310.00 <br /> Total for this Invoice $ 310.00 <br /> e6/30TOTAL DUE this Billing Period t! Cottage Permits require application with every renewal annually. Please download and <br /> form at this link to be turned into EHD in order to receive your permit. <br /> https://www.sigov.org/department/envhealth/forms <br /> PAYMENT <br /> RECEIVED <br /> JUN 2 4 2022 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> VL J Would you like Invoices electronically or need to update the email address for this account? Fill out the <br /> (T form helow 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: 'htius:!iwww. ynv.ag/deoartment/envhealtWfeeslonline•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 /> 5214spi I!nd ul report <br />