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Account ID AR0050548 <br />Facility ID FA0026563 <br />Date Printed 3/27/2023 <br />INVOICE <br />Return This INVOICE with Your PAYMENT <br />I <br />312.00 <br />312.00 <br />312.00 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />Page 1 <br />• <br />OSEI-WUSU, JANET <br />JANET'S BAKERY <br />3296 BUTTRICK LN <br />STOCKTON, CA 95206 <br />RE: JANET'S BAKERY <br />3296 BUTTRICK LN <br />STOCKTON, CA 95206 <br />OWNER: OSEI-WUSU, JANET <br />Date Health <br />Program Description Amount <br />Invoice # IN0378318 --- Date of Invoice: 3/7/2023 <br /> <br />1111011111111101111111111 1111111111 111111111111111 1111111001111111111101111111 <br />3/7/2023 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PRO546884 <br />Total for this Invoice <br />Payment Due Date <br />TOTAL DUE this Billing Period' <br />ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING T INVOI E. YOU / <br />NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONE 0 i R <br />CFO PRODUCTS. CFO RENEWAL FORM HERE: <br />https://www.sjgov.org/docs/default-source/environmental-health-documents/food-and-restaurants/cfo-registration-permittin <br />g-renewal-form.pdf?sfvrsn=d950fb44_5 <https://gcc02.safelinks.protection.outlook.com/? <br />url=https%3A%2F%2Fwww.sigov.org%2Fdocs%2Fdefault-source%2Fenviron mental-health-documents%2Ffood-and-resta <br />urants%2Fcfo-registration-permitting-renewal-form.pdf%3Fsfvrsn%3Dd950fb44_5&data=05%7C01%7Cjsalwolke%40sjg <br />ov.org%7C0d058e9dfbee4d8f10c308dab2233bdc%7C3cff5075176a400d860a54960a7c7e51%7C0%7C0%7C63801816164 <br />0113088%7CUnknown%7CTWFpbGZsb3 d8eyJWIjo iMC4wLjAwMDAiLCJQIjo iV2luMzI 1LCJBTiI6Ikl haWw iLCJXVCI <br />6Mn0%3 D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5ty gqQ4bBY12ImMj7b53zNcmtPtD%2 FYTA%3 D& reserved= <br />0> <br />You can return by mail to our department at the address on the top of your invoice or email completed forms and <br />f 1 O1.# 3I 2 <br />coil 1 325-4-?-3 <br />Please make Checks PAYABLE to: 'EHD' <br />or <br />Pay online at: 'https://www.sjgov.org/department/envhealth/fees/online-fee-iaayment' <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% <br /> 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