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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 AR0050503 <br /> INVOICE LOMMMEMONOMMA <br /> Return This INVOICE with Your PAYMENT Facility ID FA0026535 <br /> Date Printed 4/8/2022 <br /> <br /> <br /> <br /> <br /> OWNER : DRAKE, JOSHUA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0364300---Date of Invoice: 2/25/2022 1 MIT 111111111111111111111111111111111111111111111111111111111111111111111111111 <br /> 2/25/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0546848 $ 155.00 <br /> Total for[his Invoice $ 155.00 <br /> Payment Due Date 3/30/2022 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period 155.00 <br /> Important! Cottage Permits require application with every renewal annually. Please download and I out <br /> form at this link to be turned into EHD in order to receive your permit. <br /> httr)s://www.sigov.org/department/envheaIth/forms <br /> # 15T gl6l;- <br /> C�n�' -4 141 780 54 �� <br /> V" 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: 'hhtt s://www.sioov.oro/department/envhealth/feeslonline-fee-i)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 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 ?Q%P U End of report <br />