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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 J/ <br /> Account ID AR0049617 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0026163 <br /> Date Printed 9/9/2021 <br /> <br /> <br /> <br /> <br /> OWNER : FOGG, MELISSA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0354258---Date of Invoice: 7127/2021 III IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII II IIIIII VIIIIIIIIIII <br /> 7/27/2021 1608 CLASS A COTTAGE FOOD-DIRECT SALES PRO546221 $ 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 2021 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period $ 1 155.00 <br /> Important! Cottage Permits require application with every renewal annually. Please download and fill&kt the/ <br /> form at this link to be turned into EHD in order to receive your permit. <br /> httos//www sieov ore/uploadedfiles/sic/departments/ehd/forms/cfo%20ree-permitting%20renewal%20form.lpdf <br /> Poll I'd iss q18 12- 1 <br /> C oris 1-3130097 <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: 'httr)s://www.siaov.org/deoartmenVenvhealth/online-Davment' <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 <br /> rtthe <br /> �Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 1254.Fpt 17A Frid of report <br />