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SAN JOAQUiN COUNTY <br /> ENORONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 r - <br /> Account ID I AR0048351 <br /> INVOICE "`now - <br /> Return This INVOICE with Your PAYMENT Facility ID FA0025591 <br /> Date Printed 9/28/2023 <br /> DUENAS LATICIA RE : GIRL VS GARDEN <br /> GIRL.VS GARDEN 1529 PIONEER ST <br /> 1529 PIONEER ST ESCALON, CA 95320 <br /> ESCALON, CA 95320 <br /> OWNER : DUENAS LATICIA <br /> Health <br /> a`C Program Description _ Amount <br /> Invoice# IN0388130---Date of Invoice: 9/28/2023 1111111 HIII 111 111 1HI 11111 1111 11111 III�i IIIII�1111 1111 1111 111111 11111 IN IIII <br /> 28/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0544989 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> 10/30x2023 <br /> TOTAL DUE this Billing Period 1 6.0 <br /> ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INVOICE. YOU <br /> NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONE OF YOUR <br /> CFO PRODUCTS. CFO RENEWAL FORM HERE: <br /> hqps://www.s-jizov.org/department/envhealth/fonns <br /> You can return by mail to our department at the address on the top of your invoice or email completed forms and <br /> confirmation of payment to: jcastaneda&sj og v.org<mailto:jcastanedaQsj ov.org <br /> RF�y� <br /> sgti Cj�o F,6 <br /> yFq��° , <br /> <Ty�gg cOv <br /> q,4�Tq�NTy <br /> MFNT <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'https•//www sjyov org/dei)artment/envhealth/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 /> 5 2 i4,.I,i End of report <br />