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1600 - Food Program
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PR0546563
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Entry Properties
Last modified
5/17/2024 3:00:37 PM
Creation date
3/16/2021 2:33:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546563
PE
1608
FACILITY_ID
FA0026411
FACILITY_NAME
NIKA'S MAD SWEETS
STREET_NUMBER
1615
STREET_NAME
SHERIDAN
STREET_TYPE
WAY
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
1615 SHERIDAN WAY
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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Account ID AR0050238 <br />Facility ID FA0026411 <br />Date Printed 4/22/2024 <br />INVOICE <br />Return This INVOICE with Your PAYMENT <br />I <br />TOTAL DUE this Billing Pei--91 186.00 <br />SAN JCfkQUIN COUNTY <br />eNVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />Page 1 <br />RACADIO, ANNIKA-MIE RE: NIKA'S MAD SWEETS <br />NIKA'S MAD SWEETS 1615 SHERIDAN WAY <br />1615 SHERIDAN WAY <br />STOCKTON, CA 95207 <br />STOCKTON, CA 95207 <br />OWNER: RACADIO, ANNIKA-MIE <br />Date Health <br />Program Description Amount <br />Invoice # IN0391598 --- Date of Invoice : 2/9/2024 <br /> <br />1111111111111111111111111111111111111111111111111111111111111111101111111111111111I <br />2/9/2024 1608 CLASS A COTTAGE FOOD-DIRECT SALES <br /> <br />PRO546563 186 00 <br />Total for this Invoice <br />Payment Due Date 3/30/2024 <br />186.00 <br />ATTENTION <br />YOUR HEALTH PERMIT <br />FOR THE CURRENT YEAR <br />MAY NOT BE ISSUED UNTIL <br />PAST DUE AMOUNTS ARE <br />PAID IN FULL <br />PAST DUE! <br />WE WOULD APPRECIATE YOUR <br />PAYMENT TODAY! <br />ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE I OU <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.oredepartment/envhealth/forms <br />You can return by mail to our department at the address on the top of your invoice or email complet d forms and <br />confirmation of payment to: jcastaneda@sjgov.org <mailto:jcastaneda@sjgov.org> <br />r‘ 4)\ <br />11/ \beq,7\ <br />-\ <br />Y Please make Checks PAYABLE to: 'EHD' <br />or <br />Pay online at: 'httos://www.sjgov.org/department/envhealth/fees/online-fee-oayment' <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% <br />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 or report
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