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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 ID AR005024 <br /> <br /> <br /> Da rinted 3/15/2022 <br /> GEORGE, KELLI RE : CAKE BY KELLI v/ <br /> CAKE BY KELLI 2835 HAWKINS CT <br /> 2835 HAWKINS CT TRACY, CA 95377 <br /> TRACY, CA 95377 <br /> OWNER : GEORGE, KELLI <br /> Date Health <br /> Program Description Amount <br /> Invoice# ING363679---Date of Invoice: 1128/2022 IIIIIII II VIIVIVIIIVIIVIVIIIVIIIVIIVIIIIIIII IIIIIIIIIIIII <br /> 1/28/2022 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PRO546567 $ 310.00 <br /> Total forth is Invoice $ 310.00 <br /> Payment Due Date 312/2022 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period $ 310.00 <br /> Important! Cottage Permits require application with every renewal annually. Please download and <br /> form at this link to be turned into EHD in order to receive your permit. <br /> htti)s://www.sigov.org/department/envhealth/form <br /> Pv,j W31C) 311q�22_ <br /> Cotll' !-'4 Iq04 26652// (P <br /> eo <br /> 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: 'https://www.siaov.oro/der)artmentlenvhealtlVfeeslonline-fee-r)avment' <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 wilt 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 ot'repon <br />