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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 AR0049594 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility to LEMEMMOMOMMA <br /> FA0026153 <br /> Date Printed 8/25/2021 <br /> <br /> <br /> <br /> <br /> OWNER : MCDONALD, MICHAEL <br /> Date Health <br /> Program Description. Amount <br /> Invoice# IN0354840—Date of Invoice: 812412021 11111111111111e�������1111111111 IN 1111111111111111111111111 IN 11111111111 IN 1111 <br /> 8/24/2021 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PRO546208 $ 310.00 <br /> Total for this Invoice 1 $ 310.00 <br /> Payment Due Date /202 <br /> TOTAL DUE this Billing Period $ 310.b0 <br /> Cottage Permits require application with every renewal annually: Please download and fill out the form at this link to be turned I o EHD <br /> httos://www.s'gov.org/uploadedfiles/sic/departments/ehd/forms/cfo%20reg-i3ermittine%20renewaP/*2Dform.i)df <br /> YOU WILL NOT RECEIVE A PERMIT WITHOUT COMPLETING THE RENEWAL <br /> APPLICATION FORM111 <br /> PAYMENT <br /> RECEIVED <br /> SEP 2 3 2021 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> eo <br /> Would you like Invoices electronically or need to update the email address for this acco nt?Fill out the <br /> form below or Email us at EH•Invoices@sjgov.org with the information with up to 2 e ail addresses: <br /> Emaill ° d p <br /> Email 2 <br /> Please make Checks PAYABLE to: 'EHD'or <br /> Pay online at:'https://�.siaov.orddepartmen�envhealt�onlineoaymentsiaov.oroldepartmen�envhealt�online-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 n60 <br /> Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt ( ry� �Wg End of report <br />