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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> <br /> <br /> NVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0026382 <br /> Date Printed 1/31/2023 <br /> ALBOR, CANDY RE : DULCENEA'S CAKES & BAKES BY CANDY <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# IN0376810---Date of Invoice: 1211212022 111111111111111p11111p1IIIA 11111p11p111p11IN <br /> 12/12/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0546525 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> Payment Due Date 1/3012023 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period $ 186.00 <br /> AT <br /> T t YOUR CFO W L NOTRENEWEDB Y <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 /> https•//www sjgov orBJdocs/default-source/environmental-health-dOetlments/food-and-restaurants/cfo-registration-12ennittin <br /> I:-renewal-form pdf'lsfvrsn=d950fb44 5 <https:H2cc02.safelinks.protection.outlook.com/? <br /> url=https%3A%2F%2Fwww sigov org%2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood-and-resta <br /> urants%2Fcfo-registration-permitting-renewal-form.pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7C0I%7Cisalwolke%40si <br /> ov ora%7COd058e9dfbee4d8flOc308dab2233bdco/a7C3cff5075176a400d860a54960a7c7e51%7C0%7C0%7C63801816164 <br /> 0113088%7CUnknown%7CTWFpbGZsb3d8eyJWljoiMC4w[iAwMDAiLCJOIjoiV2luMzliLCJB"fil6lkIhaWwiLCJXVCI <br /> 6Mn0%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tyggQ4bBY 12ImMj7b53zNcmtPtD%2FYTA%3 D&reserved= <br /> 0> <br /> You can return by mail to o department at the address on the top of your invoice or email completed forms and <br /> fol .1d A 1/30//73 <br /> Please make Checks PAYABLE to: 'EHD <br /> or <br /> Pay online at: 'httos:l/www.sjaov.oraldeoartmenUenvhealthlfeeslonline-fee-Davment' <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 �^ O^, C�` End of report <br /> S <br />