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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 AR0048977 <br /> INVOICE <br /> <br /> <br /> A RE : NSPIRED CREATIONS <br /> NSPIRED CREATIONS 504 NORTHBANK CT APT 71 <br /> PO BOX 31583 STOCKTON,CA 95207 <br /> STOCKTON,CA 95213 <br /> OWNER : WILLIAMS, NYSHIA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0364291 ---Date of Invoice: 2/25/2022 I III II IIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIIIII IIIII IIII IIII <br /> 2/25/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PRO545663 $ 155.00 <br /> Total for this 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 <br /> form at this link to be turned into EHD in order to receive your permit. <br /> httips://www.sigov.org/department/envhealth/form s <br /> / 1 tiV <br /> PAYMENT <br /> RECEIVED <br /> 11111 2022 <br /> 5 EDNVI TM <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> eo <br /> 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: 'httos://www.sigoy.oraldepartmentienvhealthffeeslonline-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 />