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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 AR0048703 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0025759 <br /> Date Printed 12/21/2023 <br /> BRUNS, KRISTIN RE : HOMESTEAD <br /> HOMESTEAD 20700 S MURPHY RD <br /> 20700 S MURPHY RD RIPON, CA 95366 <br /> RIPON, CA 95366 <br /> OWNER : BRUNS, KRISTIN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0390789---Date of Invoice: 12/21/2023 111$E M E/1111111�111�1111�1111111111�h 111111111 Ell�1111�111111111IN <br /> 12/21/2023 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PR0545333 8 486.00 <br /> Total for this Invoice $ 486.00 <br /> 1/30/2024 <br /> TOTAL DUE this Billing Period $ 486.00 <br /> ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INVOICE. YOU <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 /> hqps://www.s-iizov.orp-/del2artment/envhealth/fon-ns <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: jcastaneda&c sigov.org<mailto:j_castaneda cusjgov.orjz> <br /> � Q /( PAY <br /> RECEIVED <br /> ED <br /> JAN 18 2024 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'httos://www.sigoy.orgidepartmentienyhealttvfees/online-fee-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 />