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SAN JOAQUIN COUNTY YMENT Page 1 ENVIRONMENTAL HEALTH DEPARTM 1868 E HAZELTON AVENUE RECEIVED STOCKTON, CA 95205 Phone: (209) 468-3420 MAR 2 5 2024 �� (_�O SAN JOAQUIN COUNTY I ENVIRONMENTAL �/2 t ID AR0049992 HEALTH DEPARTME�j_VO'CE N Return This INVOICE with Your P YMENT ID FA0026308 Date Printed 2/12/2024 WOOTEN, MASHANA RE : M-LICIOUS M-LICIOUS 1267 CHAPARRAL WAY 1267 CHAPARRAL WAY STOCKTON, CA 95209 STOCKTON, CA 95209 OWNER : WOOTEN, MASHANA A Date Health Program Description Amo nt Invoice# IN0374596---Date of Invoice: 10/14/2022 I IIIIIII IIIIII III VIII VIII VIII IIIII VIII VIII 11111 VIII VIII IIII 111111 VIII IIII 1 10/14/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0546425 $ 6.00 Total for this Invoice $ 186.00 Payment Due Date 11/30/2022 ATTENTION PAST DUE! YOUR HEALTH PERMIT Deliquent charges over FOR THE CURRENT YEAR 90 days! MAY NOT BE ISSUED UNTIL PAST DUE AMOUNTS ARE PAID IN FULL Invoice# IN0389358—Date of Invoice: 10/18/2023 I IIIIIII IIIIII III VIII 1111111111 1111111111 VIII VIII VIII IIIII III 10/18/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0546425 $ 186.00 Total for this Invoice $ 186.00 Payment Due Date 11/30/20 ATTENTION PAST DUE! PAYMENT YOUR HEALTH PERMIT Deliquent charges over RECEIVED FOR THE CURRENT YEAR 90 day I MAY NOT BE ISSUED U TIL BAR 0 2024 PAST DUE AMOUNTS AR i ,(� SAN JOAQUIN COUNTY PAID IN FULL (�( ENVIRONMENTAL HEALTH DEPARTMENT , ZT .ETOTAL DUE this Billing Period 372.00ATTENTION! YOUR CFO PERMIT W L R EWED BY ONLY PAYING THE INVOIC YOU NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONE OF YOUR CFO PRODUCTS. CFO RENEWAL FORM HERE: https://www.siiiov.orWdepartment/envhealth/forms TA Mk: You can return by mail to our department at the address on the top of your invoice or email completed forms ancTT confirmation of payment to: jcastanedaL&sieov.org <mailto:jcastanedaLa)sircov.or�4>