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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 /> Account lD AR0050118 <br /> LMMMMEMMEEMIll <br /> INVOICE <br /> <br /> <br /> <br /> JENNINGS, 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 Amount <br /> Program Description <br /> Invoice# IN0377305--Date of Invoice: 1212912022 II I I III III VIII VIII VII VIII V II VII VIII VII VIII IN 1111111111111111111 <br /> 12129/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0546499 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> 1/3012023 <br /> TOTAL DUE this Billing Period 4$ *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 /> httos7//www sjgov ora/docs/default-source/environmental-health-documents/food-and-restaurants/cfo-reeistration-oermittin <br /> g renewal form pdf?sfvrsn=d950fb44 5 <https7Ht4cc02.safelinks.protection.oullook.com/? <br /> url=haps%3A%2F%2Fwww sjgov ore%2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood-and-resta <br /> urants%2Fcfo-registration-permitting-renewal-form pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7C0I%7Cjsalwolke%40s' <br /> ov org%7COdO58e9dfbee4d8ffOc308dab2233bdc%7C3cff5075176a400d86Oa5496Oa7c7e51%7C0o/u7C0%7C63801816164 <br /> O 113088%7CUnknown%7CTWFpbGZsb3d8eyJWljoiMC4wLjAwMDAiLCJOijoiV2luMzIiLCJBTii6lkl haWwiLCJXVCI <br /> 6MnO%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tyggO4bBY l 2ImMj7b53zNcmtPtD%2FYTA%3 D&reserved= <br /> 0> <br /> You can return by mail to our department at the address on the top of your invoice or email completed forms and <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'hhltps://vww.siaov.ora/deoartment/envhealth/fees/online-fee-oavmenf <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 />