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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 r AR0050118 <br /> INVOICEImmommommommom <br /> Return This INVOICE <br /> <br /> <br /> ENNINGS, DIANA RE: CREATIVE COOKIES BY DIANA <br /> CREATIVE COOKIES BY DIANA 7640 W ALYCIA CT <br /> 7640 W ALYCIA CT TRACY, CA 95304 <br /> TRACY, CA 95304 <br /> OWNER: JENNINGS, DIANA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0363195—Date of Invoice: 12/29/2021 1111111111111 BIII11l 111111111111111111111111111111111111 IIIA III)111111111II IN 1111 <br /> 12/2912021 1608 CLASS A COTTAGE FOOD-DIRECT SALES fl VIII PRO546499 II $II II 155.00 <br /> Total for this Involos $ 155.00 <br /> 1 <br /> i <br /> TOTAL DUE this Billing Period $ 155.00 <br /> Importantl Cottage Permits require application with every renewal annually. Please download and fill ut the <br /> form at this link to be tumed into EHD in order to receive your permit. <br /> httr)s://www.sagov.ork/department/envhealth/forms <br /> R <br /> ✓qN D <br /> 18 <br /> NEgCTy,O M yOA Y <br /> rMFNr <br /> V Would 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: 'EHD'or <br /> Pay online at:'htti)s:f/www.s'aov.or�deoartment/envhealth/onlin rloavment' <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 Gid of report <br />