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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 AR0048860 <br /> <br /> <br /> Date <br /> Printed 2/22/2022 <br /> SHAFER, BRENDA RE : KNEADS PROOF <br /> KNEADS PROOF 835 S CHURCH ST <br /> 835 S CHURCH ST LODI, CA 95240 <br /> LODI, CA 95240 <br /> OWNER : SHAFER, BRENDA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0363667---Date of Invoice: 1/28/2022 IIIIII IIVIIIVIVIIVI VIVVII VIII VIIIA IIIIIIIII IIII <br /> 1/28/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0545498 $ 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 22` <br /> TOTAL DUE this Billing Perio $ 155.00 <br /> i <br /> Important! Cottage Permits require application with every renewal annually. Please download an th6' <br /> form at this link to be turned into EHD in order to receive your permit. <br /> https://www.sogov.org/dei)artment/envhealth/­form <br /> POI it � 15- /- yj Z <br /> CooP 1 312- Z 73yq <br /> I <br /> Vu 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: 'hftos://www.sioov.oro/dei3artment/envhea[tWfeesionline-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.ml I )I IN End of report <br />