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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 /> Account ID AR0048027 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0025450 <br /> Date Printed 7/30/2021 <br /> <br /> <br /> <br /> <br /> OWNER : ESCOBAR OROZCO, DORA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0353620---Date ofInvoice: 6123/202, 1111111111111111111111111111 <br /> 6/2312021 1608 CLASS A COTTAGE FOOD-DIRECT SALES PRO544773 $ 155.00 <br /> Total forthis Invoice $ 155.00 <br /> Payment Due Date1 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period $4,55-001 155.00 <br /> Cottage Permits require application with every renewal annually. Please download and fill out the form at this link to be turned into EHD. <br /> httns://www.sigov.org/ur)loadedfiles/sic/departments/ehd/forms/cfo%20ree-perm ittinQ%20renewal%20form.l)df <br /> Pq,i #15-'r 7/?8/Z <br /> Cnh �V 12 ° 1 � 3263 <br /> eoWould you like Invoices electronically or need to update the email address for this account?Fill out the <br /> form below or Email us at EH-Invoices@sjgov.org 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: 'httns://www.sigov.oro/department/envhealttvonline-oavment' <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 /> i254.rpt �� ���� Endofreport <br />