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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT / <br /> 1868 E HAZELTON AVENUE v/ <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID ARo050o12 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID <br /> FAoozs3za <br /> Date Printed 2/2/2022 <br /> <br /> <br /> <br /> <br /> OWNER : ABDUL RAUF, MUNISA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0362298---Date of Invoice: 11/3012021 IIIIIIII IIIIII IIIIIIII VIII VIII VIII VIII VIII VIII VIII VIII/III IIIIII VIIIIIIIIIII <br /> 11/30/2021 1608 CLASS A COTTAGE FOOD-DIRECT SALES PRO546449 $ 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 1213012021 <br /> ATTENTION PAST DUE! <br /> YOUR HEALTH PERMIT WE WOULD APPRECIATE YOUR <br /> PAYMENT TODAY! <br /> FOR THE CURRENT YEAR <br /> MAY NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS ARE <br /> PAID IN FULL <br /> TOTAL DUE this Billing Period $ 155.00 <br /> Important! Cottage Permits require application with every renewal annually. Please download and out t <br /> form at this link to be turned into EHD in order to receive your permit. <br /> https://www,sigov.org/department/envhealth/form <br /> 11"Cl 1 �75_ I/7SlzZ <br /> Collr $t_4 <br /> I39Cq 7q7� <br /> eo <br /> Would you like Invoices electronically or need to date the email address for this account? Fill out the <br /> form below 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: 'h- ttps://www.sioov.oro/department/envhealtIVonline-oayment' <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 report <br />