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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 AR0049408 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facll yID FAoozsoso <br /> Date Printed F 6/23/2021 <br /> <br /> <br /> <br /> <br /> OWNER: HOLLOWAY-DYER,CARROL <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0353629—Date of Invoice: 6/2312021 IIIIIIIIIIIIIIIIIHIIIIII VIII IIID VIII VIII VIIIVIIVIIIIIIIIII 111111111 IN <br /> 6/23/2021 1609 CLASS B COTTAGE FOOD-INDIRECT SALES II RPRO54II61114 $ 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 format this link to be turned into EHD. <br /> cffo ree-permitting renewal form pdf(sigov ore) <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 EH4nvoices@sjgov.org with the information with up to 2 email addresses: <br /> V� Email 1 <br /> Email 2 <br /> Please make Checks PAYABLE to: 'EHD'or <br /> Pay online at:'httos•!/www sigov orafdeoartmentlenvhealtNonline-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 thereafte <br /> 5254.rpt <br /> End of report <br />