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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209)468-3420 <br />.�.- Page 1 <br />Account ID AR0050403 <br />INVOICE <br />Return This INVOICE with Your PAYMENT Facility to FAoozsaas <br />Date Printed 3/1/2022 <br /> <br /> <br /> <br /> <br />OWNER: KENNEDY, KATHARINE M <br />Date Health <br />Program Description Aoio..4 <br />Invoice # IN0364296 — Date of Invoice : 2/2512022 <br />2/25/2022 1608 CLASS A COTTAGE FOOD -DIRECT SALES <br />I IIIIIII IIIIII III VIII IIID VIII IIID VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br />PRO546664 $155.00 <br />Total for this Invoice $155.00 <br />3/30/2022 <br />TOTAL DUE this Billing Period <br />/ $ 155.00 <br />Important! Cottage Permits require application with every renewal annually. Please download and fill out he <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 />PAYMENT <br />RECEIVED <br />APR 0 4 2022 <br />SAN JOAQUIN COUNTY <br />ENVONMENTAL <br />HEALTH DE ARTMENT <br />Would you like Invoices electronically or need to update the email address for this account? Fill <br />form below with the information with up to 2 email addresses: <br />Email1 I V_MKe0nedy79-1I <br />Email 2 <br />/1,%_'etr1 <br />Please make Checks PAYABLE to: 'EHD' or <br />Pay online at:'htti3s:tiw .sigov.org/departmentlenvhealth/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.rpi \ ft � `{� r�1 End of report <br />