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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 F AR 00494 88 <br /> INVOICELMMOMMOMMOMMA <br /> Return This INVOICE with Your PAYMENT Facility ID LMMMMOMMMMENA <br /> Date Printed 2-0 <br /> <br /> <br /> <br /> <br /> OWNER : HOLLOWAY-DYER, CARROL <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0367879---Date of Invoice: 6130/2022 III IIIIII III VIII VIII VIII VIII VIII IIIIIIIIIIIIIIIIIIII IIII IIIIII IIIII IIII IIII <br /> 6/30/2022 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PR0546114 $ 310.00 <br /> Total forthis Invoice I $ 310.00 <br /> Payment Due Date <br /> TOTAL DUE this Billing Period 310.00 <br /> Important! Cottage Permits require application with every renewal annually. Please download nd fill out the <br /> form at this link to be turned into EHD in order to receive your permit. <br /> httos://www.sagov.org/department/envhealth/forms <br /> 310 <br /> Would 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.siaov.orgldei)artmentienvhea[ttVfeeslonline-fee-r)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.rpt ?Ro > '"' I i q s End of report <br />