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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 AR0049462 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0026104 <br /> Date Printed 12/1/2022 <br /> WILKERSON,ARNISHA RE : SUGAR MAMA'S CONFECTIONS <br /> SUGAR MAMA'S CONFECTIONS 227 ASH RENEE ST <br /> 227 ASH RENEE ST MANTECA, CA 95337 <br /> MANTECA, CA 95337 <br /> OWNER : WILKERSON,ARNISHA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0367869---Date of Invoice: 6130/2022 IT IIIIII III 111 <br /> VIII VIII IIIII VIII VIII VIII VIII IIIII IIII IIIIII VIII 1111 <br /> IIII <br /> 6/30/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0546143 S 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 7/30/2022 <br /> ATTENTION PAST DUE! <br /> YOUR HEALTH PERMIT Deliquent charges over <br /> FOR THE CURRENT YEAR 90 days! <br /> MAY NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS ARE <br /> PAID IN FULL <br /> TOTAL DUE this Billing Period $ j(!):5.0Z0 <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 /> https•//www sigov orp/docs/default-source/environmental-health-documents/food-and-restaurants/cfo-registration-12ermittin <br /> 2-renewal-form.12df?sfvrsn=d950fb44_5 <https_H2cc02.safelinks.protection.outlook.com/? <br /> url=https%3A%2F%2Fwww sjgov ore%2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood-and-resta <br /> urants%2Fcfo-registration-permitting-renewal-form pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7C01%7Cjsalwolke%40sjg <br /> ov or,2%7COdO58e9dfbee4d8flOc308dab2233bdc%7C3cff5075176a400d86Oa5496Oa7c7e5l%7C0%7CO%7C63801816164 <br /> 0113088%7CUnknown%7CTWF12bGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzliLCJBTiI6Ik 1 haWwiLCJXVCI <br /> 6MnO%3 Q%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tyeaQ41hBY 12ImMj7b53zNcmtPtD%2FYTA%3 D&reserved= <br /> 0> <br /> You can return by mail to our department at the address on the top of your invoice or email completed forms and <br /> P� r s,5 <br /> r� <br /> X33 8 �_28�I �i� <br />