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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />/ Page 1 <br />Account ID FAR0048667 <br />INVOICE <br />Return This INVOICE with Your PAYMENT Facility ID <br />"MEMMUMM <br />FA0025726 <br />Date Printed 1/4/2022 <br /> <br /> <br /> <br /> <br />OWNER: ESPEDAL, DANIELLE <br />Date Health <br />Program Description Amount <br />Invoice # IN0362308 --- Date of Invoice : 11/30/2021 <br />11/30/2021 1609 CLASS B COTTAGE FOOD -INDIRECT SALES <br />SECOND NOTICE <br />IIIIIIIIIIIIIIIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIIIIIIIIIIIVIIIIIIIIIII <br />PRO545239 $ 310.00 <br />Total for this Invoice $ 310.00 <br />Payment Due Date 12/3p/2021 <br />TOTAL DUE this Billing Period 310.00 <br />Important! Cottage Permits require application with every renewal annually. Please download and fi ut the <br />form at this link to be turned into EHD in order to receive your permit. <br />htti)s://www.sOgov.org/department/envheaIth/`form <br />TOWoyou like Invoices electronically orneedto update the email address for this account? Fill outthe <br />form below with the information with up to 2 email addresses: <br />Email 1 <br />Email 2 <br />Please make Checks PAYABLE to: 'EHD' or <br />Pay online at:'https:llwww.siaov.or�deOartment/envhealthlonlineOavmentllwww.siaov.or�deoartment/envhealth/online-oavment' <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 tt <br />End of report <br />