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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZEL-TON AVENUE <br /> .STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0050004 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FAoozs3zo <br /> Date Printed 11/14/2022 <br /> <br /> <br /> <br /> <br /> OWNER : KOHL, KRISTA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0374604---Date of Invoice: 10/14/2022 IIIIIII IIIIII III IIIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII III1 <br /> 10/14/2022 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PR0546439 $ 312.00 <br /> Total for this Invoice $ 312.00 <br /> 11/30/2022 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period $ 312.00 <br /> ATTENTION! YOUR CFO PIERMIT W LL NOT BE RENEWED Y ONLY PAYING THE INV <br /> NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONE OF YOUR <br /> CFO PRODUCTS, CFO RENEWAL FORM HERE: <br /> https://www.sj oy v.org/docs/default-source/environmental-health-doculnents/food-and-restaurants/cfo-rei istration-permittin <br /> g.-renewal-form.DdVsfvrsn=d950fb44 5 <https:Hgcc02.safelillks.protection.outlook.com/? <br /> url=https%3A%2Fo/u2Fwww.si gov.org%2Fdocs%2Fdefault-source%2Fenv ironmental-health-documents%2Ffood-and-resta <br /> urants%2Fcfo-registration-permitting-renewal-form.pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7COI%7Cjsalwolkc%40sjg <br /> ov.ore%7C0d058e9dfbee4d8f1Oc308dab2233bdc%7C3cff5075176a400d86Oa5496Oa7c7e5l%7CO%7CO%7C63801816164 <br /> 01130881/o7CUnknown%7CTWFpbGZsb3d8eyJ WljoiMC4wLjAwMDAiLCJOIjoiV2luMzliLCJBTil6Ikl haWwiLCJXVCI <br /> 6MnO%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tyggO4bBY l2ImMj7b53zNcmtPtD%2FYTA%3D&reserved= <br /> 0> <br /> You can return by mail to our department at the address on the top of your invoice or email completed forms and <br /> PAYMENT <br /> RECEIVED <br /> OCT 31 2022 <br /> ,AN JOAQUIN COUNT' <br /> ENVIRONMERTNENI <br /> HEALTH <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'https://www.siaov.orddepartment/envhealttVfees/online-fee-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 Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254,gv pn✓ 1(pq 31 End of report <br />