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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 AR0048794 <br /> INVOICE <br /> <br /> <br /> <br /> BURFORD,FRANCES RE: VB SHORTBREAD COOKIES <br /> VB SHORTBREAD COOKIES 1267 LLOYD THAYER CIR <br /> 1267 LLOYD THAYER CIR STOCKTON, CA 95206 <br /> STOCKTON,CA 95206 <br /> OWNER : BURFORD, FRANCES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0363192--Date of Invoice: 1212912021 <br /> I IIIIIII VIII II IIII VIII VIII VIII VIII(IIII VIII VIII VIII IIII VIII VIII IIII IIII <br /> 12129/2021 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PR0545414 $ 310.00 <br /> Total for this Invoice $ 310.00 <br /> 2022 <br /> TOTAL DUE this Billing Period 310.00 <br /> Important! Cottage Permits require application with every renewal annually. Pleasedownload nd fill out the <br /> form at this link to be turned into EHD in order to receive your permit. <br /> htti)s://www.sipov.org/der)artment/`envhealth/forms <br /> PAYMENT <br /> RECEIVED �f , <br /> JAN i 1 2022 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Vs <br /> Would you like Invoices electronically or need to update the email address for this account?Fill out the <br /> form below with the information with up to 2 email addresses: <br /> Email ! .J ch c I. <br /> Email2 bbd s 2 &1715[0, 1 <br /> Please make Checks PAYABLE to: 'EHD'or <br /> Pay online at: 'https://www.sigov.orQ/departmenVenvhealthlonline-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.rpt End of eport <br />