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_ <br /> m�PARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Account tp �AR�a794 <br /> Return This INVOICE with Your PAYMENT Facl,lvlD FA0025791 <br /> Date Printed 12/21/2023 <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 <br /> Amount <br /> Invoice# IN0390792_Date of Invoice: 12/21/2023 1N111111INI1111111111111IINIII IIUI Nil IIIII IIII IIINI011111111IN <br /> 12/21/2023 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PRO545414 $ 486.00 <br /> Total for this Invoice $ 486.00 <br /> 1/3012024 <br /> TOTAL DUE this Billing Period 3 486.00 <br /> ATTENTION! YOUR 'FO PERMIT W11 1 i`�0r� BE RENEWED Bl' ONIY P4YIN THE INVOICE, l OU <br /> NEED TO COMPLETE AND RETURN THE RFNENAL FORM AND INC IDE A L10FL OF ONE OF YOUR <br /> CFO PRODUCTS. CFO RENEWAL FORNI HERE: <br /> �Itt(>>: ;v;;;;.�JSu; ors ticnarhn�nt-fin;hetilih iurrn, <br /> You can return by mail to our department at the address on the top of your invoice or email completed forms and <br /> confirmation of payment to: icastanedaLvsigov.orl;<maiIto:icastanedaru s-gov ores <br /> 2 ^1 2 y PAYMENT <br /> V" - ( e ne \.Aj DECEIVED <br /> !A N U 5 2024 .Lj 8co. a � <br /> 1e �AN <br /> \ S Q \ ENVIRONM NOTALTM b ca/ J- <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: ' tDS:/hnryyv sjc�gy,QLg(�g; „en �t,ealtNfees/online-fee-navment' <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.rpi <br />