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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELT"ON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0050483 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0026516 <br /> Date Printed 3/8/2024 <br /> WAHL,AMBER RE : WAHL TO WAHL CONFECTION'S <br /> WAHL TO WAHL CONFECTION'S 1620 CORBIN LN <br /> 1620 CORBIN LN LODI, CA 95242 <br /> LODI, CA 95242 <br /> OWNER : WAHL,AMBER L <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0391604---Date of Invoice: 2/9/2024 1111 111111 11111 1111 IN <br /> 2/9/2024 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0546820 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> 3/ 024 <br /> TOTAL DUE this Billing Period $ 186.00 <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 /> https://www.s*2ov.orp-/department/envhealth/forms <br /> You can return by mail to our department at the address on the top of your invoice or email completed forms and <br /> confirmation of payment to: icastaneda a.sjgov.or2<maiIto:jcastaneda@sjo,� v.org> <br /> PAYMENT <br /> EIV6D <br /> MAR 0 5 2024 <br /> SAENJOAQUIN cOUNTy <br /> HEALTH DEPgRTMENT <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'https://www.sjgov.org/department/envhealth/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 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt End of report <br />