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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 AR0049004 <br />INVOICE <br />Return This INVOICE with Your PAYMENT Facility ID FAoozssa6 <br /> <br /> <br /> <br /> <br />Date Printed 4/8/2022 <br />RE: ALYSSA'S CREATIVE CONFECTIONS <br />319 MCKEE CT <br />RIPON, CA 95366 <br />OWNER: MACY-FIKEJS, ALYSSA <br />Date Health <br />Program Description Amount <br />Invoice # IN0364292 --- Date of Invoice : 2/2512022 <br />2/25/2022 1608 CLASS A COTTAGE FOOD -DIRECT SALES <br />SECOND NOTICE <br />I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br />PR0545676 $ 155.00 <br />Total for this Invoice I $ 155.00 <br />Payment Due Date 3/30/2022 <br />TOTAL DUE this Billing Period <br />1 <br />Important! Cottage Permits require application with every renewal annually. Please download and Ul-out the <br />form at this link to be turned into EHD in order to receive your permit. <br />htti)s://www.sigov.org/department/­envhealth/form <br />5 <br />Coo 7071 G -q <br />eoWould 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: 'httos://www.sioov.oro/dei)artmentienvhea[tWfeeslonline-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.rpt 1'i SF�� �� �,j���, Endolrepo <br />