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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 AR0049410 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0026082 <br /> Date Printed 7/14/2021 <br /> <br /> <br /> <br /> <br /> OWNER : MOORE, KRISTINA <br /> Date Health <br /> Program Description Amount <br /> Invoice 4 IN0353624---Date of Invoice: 6/23/2021 III I IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII 11111 1111 IIII <br /> 6/23/2021 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0546116 $ 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 7 1 <br /> TOTAL DUE this Billing Period $ 155.00 <br /> Cottage Permits require application with every renewal annually. Please download and fill out the form at this link to be turned into EHD. <br /> do reg-permitting renewal formodf(siaov.ore) <br /> -/� 2/z, <br /> dill lz $ � GBny� <br /> eoVu Would you like Invoices electronically or need to update the email address for this account?Fill out the <br /> form below or Email us at EH-Invoices@sjgov.org 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: 'htt�s://www.siaov.orddeoartmentienvhealtiVonlineoavment//www.siaov.oroldepartmentienvhealtiVonline-I)avment' <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.rp1 End of report <br /> pRo�oll�v <br />