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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 AR0050170 <br /> INVOICE `M <br /> Return This INVOICE with Your PAYMENT Facility ID FA0026382 <br /> Date Printed 12/20/2023 <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# IN0390621 ---Date of Invoice: 12/20/2023 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII(III IIII <br /> 12/20/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0546525 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> 1/30/2024 <br /> TOTAL DUE this Billing Period $ 186.00 <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 /> https://www.s,�ov.or J department/envhealth/forms <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 asjgov.ore<mailto:jcastanedaLci)�eov.org <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'h�t.� a/tivw •_siaov.orcldearPrrbent/envhealth/fees/online-fee-nayrn�rt' <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 /> i?;4.rpt End of report <br />