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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 /> <br /> <br /> PAYMENT Facility ID FA0026382 <br /> Date Printed 2/4/2022 <br /> ALBOR, CANDY RE : DULCENEA'S CAKES & BAKES BY CAN <br /> DULCENEA'S CAKES & BAKES BY CANDY ALBOR <br /> ALBOR 1635 COURT DR <br /> 1635 COURT DR TRACY, CA 95376 <br /> TRACY, CA 95376 OWNER : ALBOR, CANDY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IND363198---Date of Invoice: 12/29/2021 1111111111111111111111111IN111111111111111IN <br /> 12/29/2021 1608 CLASS A COTTAGE FOOD-DIRECT SALES PRO546525 $ 155.00 <br /> Total for this invoice $ 155.00 <br /> Payment Due Date 1/3012022 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period 155.0 <br /> Important! Cottage Permits require application with every renewal annually. Please download and III out t <br /> form at this link to be turned into EHD in order to receive your permit. <br /> htti)s://www.sigov.org/dei)artment/envhealth/forms <br /> I m �CC � � 55 21222 <br /> Cove 13a 3q —7`13 <br /> eoWould 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 1 <br /> Email 2 <br /> Please make Checks PAYABLE to: THD'or <br /> Pay online at: 'h�s://www.siaov.or�department/envhealttVfeestonline-fee-payment//www.siaov.or�department/envhealttVfeestonline-feepayment' <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 />