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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZEL rON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0048027 <br /> <br /> <br /> <br /> ESCOBAR OROZCO, DORA RE : QUEENS BAKERY 209 <br /> QUEENS BAKERY 209 259 PESTANA AVE APT 3 <br /> 259 PESTANA AVE APT 3 MANTECA, CA 95336 <br /> MANTECA, CA 95336 <br /> OWNER : ESCOBAR OROZCO, DORA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0367863---Date of Invoice: 6/30/2022 IIIIIIIII VIIVIV VIIVIIVIIVIVIIVIIIIIIIIIIIIIIIIIIIIIII <br /> 6/30/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0544773 $ 155.00 <br /> Total for[his Invoice $ 155.00 <br /> Payment Due Date 7/30/2022 <br /> ATTENTION PAST DUE! <br /> YOUR HEALTH PERMIT Deliquent charges over <br /> FOR THE CURRENT YEAR 90 days! <br /> MAY NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS ARE <br /> PAID IN FULL <br /> TOTAL DUE this Billing PeCdl::5Cottage Permits require application with every renewal annually. Please download and fill out the form at this link <br /> httos://www.sigoy.org/department/envhealth/forms <br /> In d j j 5 s 1 Z 7/ z <br /> co�, � I �- OSIdB ? 3 <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'https://www.sigov.oraldepartment/envhealtlVfees/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 <br /> the Invoice Date and each 30 Days thereafter <br /> 5254.rpt ^ � 0 L Xrii q 1-7 3 End of report <br />