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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209)468-3420 <br />INVOICE <br />AccountlD <br />Return This INVOICE with Your PAYMENT Facility ID <br />Date Printed <br /> <br /> <br /> <br /> <br />OWNER: BURNLEY, JESSICA <br />Page 1 <br />AR0048666 <br />FA0025725 <br />2/10/2022 <br />Date Health <br />Program Description Amount <br />Invoice # IN0362307 --- Date of Invoice: 1113012021 <br />11/30/2021 1609 CLASS B COTTAGE FOOD -INDIRECT SALES <br />ATTENTION PAST DUE! <br />YOUR HEALTH PERMIT WE WOULD APPRECIATE YOUR <br />PAYMENT TODAY! <br />FOR THE CURRENT YEAR <br />MAY NOT BE ISSUED UNTIL <br />PAST DUE AMOUNTS ARE <br />PAID IN FULL <br />I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br />PRO545238 $ 310.00 <br />Total for this Invoice I $ 310.00 <br />Payment Due Date iusluzurt <br />TOTAL DUE this Billing Period $ 310.00 <br />Important! Cottage Permits require application with every renewal annually. Please download and fi out the <br />form at this link to be turned into EHD in order to receive your permit. <br />htti)s://www.sigov.org/dei)artment/envheaIth/form <br />� 3(0 <br />eo <br />Would you like Invoices electronically or need to update the email address for this account? Fill out the <br />form below 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:'https://www.s!gov.oro/departmentlenvhealtlVfeeslon!ine-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.mt End of report <br />