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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 FAR004794211 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility <br /> 'D FA0025432 <br /> Date Printed 6/1/2021 <br /> <br /> <br /> <br /> <br /> OWNER : BYSTROM, HEATHER <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0338143---Date of Invoice: 6/24/2020 II I I III I V II V II VII V II VI I VIII I II V I I I I VIII I1II IIII <br /> 6/24/2020 1608 CLASS A COTTAGE FOOD-DIRECT SALES PRO544745 $ 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 7/30/2020 <br /> ATTENTION PAST DUE! <br /> YOUR HEALTH PERMIT Deliquent charges over <br /> FOR THE CURRENT YEAR 90 days! <br /> MAY NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS ARE <br /> PAID IN FULL <br /> TOTAL DUE this Billing Perio $ 155.00 <br /> Cottage Permits require application with every renewal annually. Please download and fill out the form at this link to be tur d into EH <br /> cfo reg-permitting renewal form.Ddf(sigov.org) <br /> pq,c( I S"S' s/3K2 I <br /> COX � 1261 3% 13 � <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'httos://www.siaov.ora/deoartmenVenvhealth/online-Davmenf <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.rp1 End of report <br />