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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 AR0048081 N/ <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0025474 <br /> Date Printed 9/23/2021 <br /> <br /> <br /> <br /> <br /> OWNER : CRUZ,ALEXANDRIA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0354256---Date of Invoice: 7/2712021 VIII IIIIII III VIII VIII VIIIVIII VIII VIII VIIIVIII VIII II IIIIII VIIIIIIIIIII <br /> 7/27/2021 1608 CLASS A COTTAGE FOOD-DIRECT SALES PRO544827 $ 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 30/2021 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period $ <br /> Important! Cottage Permits require application with every renewal annually. Please download and fill out the <br /> form at this link to be turned into EHD in order to receive your permit. <br /> httos://www.sieov.orPJuDloadedfiles/sic/departments/ehd/forms/cfo%20re¢-permitti n¢%20renewal%20form.pdf <br /> PAYMENT <br /> RECEIVED <br /> SEP 2 3 2021 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> eoWould you like Invoices electronically orneed to update the email address forthis account?Fill outthe <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: 'httos://www.sigovhtti)s://www. .or�deoartmentlenvhealtiVonlinepaymentpayment' <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 Fnd of report <br />