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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 AR0049617 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0026163 <br /> Date Printed 9/9/2021 <br /> LOWNWOMMENNEENROM <br /> <br /> <br /> <br /> <br /> OWNER : FOGG, MELISSA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0354258---Date of Invoice: 7127/2021 III IIII VIII VIII VIIIIIII VIVIIVI IIII IIIIII 111111111111 <br /> 7/27/2021 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0546221 S 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 8/30,/2021 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period $ 155.00 <br /> Important! Cottage Permits require application with every renewal annually. Please download and fill t th <br /> form at this link to be turned into EHD in order to receive your permit. <br /> httos//www sigov.ore/uoloadedfiles/sic/departments/ehd/forms/cfo%20reg-oermittine%20renewal%20form.Ddf <br /> POII'dS5 V812- 1 <br /> cone 131341027 <br /> �&- U,-- <br /> eoWould 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: 'hfti3s://www.siaov.oraldeoartment/envhealth/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 60 Days after the Invoice <br /> Invoic�el Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 525rpt k Ilk"�— � Iaid of report <br />