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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868`E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID I AR0047796� <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0025374 <br /> Date Printed 6/28/2023 <br /> GUPTA, MAMTA RE : MASALA BLEND LLC <br /> MASALA BLEND LLC 2127 SADDLEBROOK ST <br /> 2127 SADDLEBROOK ST STOCKTON, CA 95209 <br /> STOCKTON, CA 95209 <br /> OWNER : GUPTA, MAMTA <br /> Date Health <br /> Program Description Amount <br /> Invoice# I N0381388---Date of Invoice: 5/30/2023 I(IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 5/30/2023 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PR0544635 $ 312.00 <br /> Total for this Invoice $ 312.00 <br /> Payment Due Date 6/30/2023 <br /> TOTAL DUE this Billing Period $ 12.00 <br /> ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING;THE INVOICE. YOU <br /> NEED TO COlt1PLETE AND RETURN THE RENENN"A1. FORM AND INCLUDE A LABEL OF ONE OF YOUR <br /> CFO PRODUCTS. CFO 11F.NFAVAI. FORM "ERE: <br /> https:/Nvww.sigov.orgZdocs,,default-sourceienvironmc;ntal-health-documentc/food-and-restaurants/c:fo-registration-permittin <br /> renewal_form.pdf?sfvrsn=d950fb44 5<https://(—)cc02.safeIinks.protection.otttlook.com/'? <br /> ,o <br /> url=haps%3A%2F'i�2Fww. j.gov.org%2Fdocs'%?Fdefault-sour��io2FeJi�-irontnental-health-documents%2Ffood-and-recta <br /> urants°ro2Fcfo-re,2istration-permitting-renewal-(orin.pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7001%,7Cisalwolke%40sig <br /> ov.org%,7C0d058e9dtbee4d8t10c308dab2233bdc1%7C3cff5075176a400d860a54960a7c7g5 l%7C0%7C0%7063801816164 <br /> 0113088%7CUnknown%7CTWFpbGZ.sb3d8evJWIIoiMC4wLjAwMDAiLCJOljoiV21uMzl iLCJBTil6lk 1 haWwiLCJXVCI <br /> 6MnO%3 D',%703000%7C%7C%7C&sdata=6tRcKMC6hxT5ty2gO4bBY 12ImMi7b53zNcmtPtD%2FYTA%3D&reserved= <br /> 0> <br /> You can return by mail tO our department at the address on the top of our invoice or email completed forms and <br /> PAYMENT <br /> RECEIVED <br /> JUL 21 2023 <br /> SAN JOA(lUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'https:i/www.sigov.org/departmentlenvhealth/fees/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 F.nd of report <br />