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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 R004952 <br /> <br /> <br /> ed 6/23/2021 <br /> DELA CRUZ, MA LIEZL RE : ZELPAMORE <br /> ZELPAMORE 926 MENDOCINO CT <br /> 926 MENDOCINO CT LATHROP, CA 95330 <br /> LATHROP, CA 95330 <br /> OWNER : DELA CRUZ, MA LIEZL <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0353628...Date of Invoice: 612312021 III IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII 111111111 111 <br /> 6/23/2021 1608 CLASS A COTTAGE FOOD-DIRECT SALES PRO546171 $ 155.00 <br /> Total for this Invoice $ 155.00 <br /> 7/30/2021 <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 a turned into <br /> cfo reg-Dermitting renewal form.Ddf(sigov.org) <br /> 0-Cf NES <br /> au � <br /> � p 3 202 <br /> SPN NNP N1pPR MENS <br /> NE E�NOE <br /> V`J 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-Invoicesdp@sjgov.org with the information with up to 2 email addresses: <br /> Email 1 //Wool <br /> V Email 2 <br /> Please make Checks PAYABLE to: 'EHD'or <br /> Pay online at: 'htti)s://www.siaov.org/department/envhealttVonline-Dayment' <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 End of repot <br />