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SAN JOAQUIN COUNTY J I <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account to AR0048794 <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# IN0377303—Date of Invoice: 1212912022 II I I I I III VIII VIII III VIII V II VIII IIII II III III VIII IIII IIII <br /> 12/29/2022 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PRO545414 $ 312.00 <br /> Total for this invoice $ 312.00 <br /> 113 12023 <br /> TOTAL DUE this Billing <br /> Peritl <br /> 312.00 <br /> UATTENTION! YOUR O PERMIT L NOTBE RE D BY ONLY PAYING THE <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 /> his://www.siyov.or0docs/default-source/enviromnentaI-health-documents/food-and-restaurants/cfo-re2istration-permittin <br /> 2_renewal-form.pdf9sfvrsn=d950tb44 5<https://2cc02.safelinks.protection.outtook.com/? <br /> url=https%3A%2F%2Fwww sjgov org%2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood-and-rests <br /> urants%2Fcfo-registration-permitting-renewal-form pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7001%7Cjsalwolke%40sjg <br /> ov ore/a7Cod058e9dfbee4d8flOc308dab2233bdc%7C3cff5O75176a40Od86Oa54960a7c7e5l%7CO%7CO%7063801816164 <br /> 0113088%7CUnknown%7CTWFnbGZsb3d8eyJWljoiMC4wLiAwMDAiLCJQIjoiV2luMzliLCJBTiI6lk1 haWwiLCJXVCI <br /> 6MnO%3 D%703000%7C%7C%7C&sdata=6tRcKMC6hxT5tyggO4bBY 12ImMRb53zNcmtPtD%2FYTA%3 D&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 /> R�E ED <br /> AN 192023 <br /> SAN uOAQUENV/N� IN C <br /> Ot�HEALTH <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'httos://www.sitiov.oraideoaltmenVenvhealth/fees/online-fee-i)avment' <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 />