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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID FAR0049408 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility l0 FAoozsoeo <br /> Date Printed 6/23/2021 <br /> <br /> <br /> <br /> <br /> OWNER : HOLLOWAY-DYER, CARROL <br /> Dale Health <br /> Program Description Amount <br /> Invoice# IN0353629--Date of Invoice: 6/23/2021 IIIIIIIIIIVIIIIIIIIIIIIIIIVIIIVIIIVIVIIIIIIIIII VIII IIII IIII <br /> 6/23/2021 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PROW114 $ 310.00 <br /> Total for this Invoice $ 310.00 <br /> 713012021 <br /> TOTAL DUE this Billing Period $ 310.00 <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 /> cfo reg-permitting renewal form.Ddf Isjgov.or¢) <br /> V 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: 'httr)s://www.sigovwww.siqov.or�deoartmenVenvhealt�onlineoaymentpayment' <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 thereafte <br /> 5254.rp1 End of report <br />