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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 AR0050337 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0026460 <br /> Dale Printed 3/1/2022 <br /> <br /> <br /> <br /> <br /> OWNER : BATTLES, GLORIA V <br /> D to Health <br /> Program Descrption Amount <br /> Invoice# IN0363675...Date of Invoice: 1/28/2022 VIII 111111III VIII VIII VIII VIII VIII VIII VIII VIII VIII 1111111111111111111 IN <br /> 1/28/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0546623 $155.00 <br /> Total for this Invoice $155.00 <br /> Payment Due Date 3/2/2022 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period $155.00 <br /> Important! Cottage Permits require application with every renewal annually. Please download and fill out the <br /> form at this link to be turned into EHD in order to receive your permit. <br /> https://www.sigov.org/department/envhealth/forms <br /> )V4R 13 <br /> WN rk <br /> �� e �ENT <br /> Would you like Invoices electronically o nr eed to upto 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: 'EMD'or <br /> Pay online at:'https://www.s!aoy.oraldepartmentlenvhealth/fees/online-fee-payment' <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'Dryaays after the Invoice <br /> ,sDate <br /> ^p, 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt g V 'W 13 End of report <br />