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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 F AR0D 88794 <br /> INVOICE <br /> <br /> <br /> RFORD,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: 12129/2021 1111111111111 N 111111111111111111111111111111111111111111111111111111111111111 IN <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. Please download nd fill out the <br /> form at this link to be turned into EHD in order to receive your permit. <br /> htti)s://www.sigov.org/department/`envhealth/forms <br /> PAYMENT <br /> RECEIVED <br /> JAN i 1 2022 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT � 1 <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 V J0 9 c NI <br /> Email 2 bb Q i &f)5N, <br /> Please make Checks PAYABLE to: 'EHD'or <br /> Pay online at: 'https://www.sigov.orQ/departmentlenvhealthlonline-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 report <br />