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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 AR0049112 <br /> INVOICE <br /> Return This INVOICE <br /> <br /> RE : UNDERGROUND <br /> UNDERGROUND 655 N SANTA INEZ DR <br /> PO BOX 603 MOUNTAIN HOUSE, CA 95391 <br /> TRACY, CA 95378-0603 <br /> OWNER : ADDISON, SHARON <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0349925---Date of Invoice: 3/25/2021 I III I I I I V II V I VI M V I VII V I VII V I I I II VIII 1111 1111 <br /> 3/25/2021 1608 CLASS A COTTAGE FOOD-DIRECT SALES PRO545817 $ 155.00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 413012021 <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 Period6urned <br /> 55.00 <br /> Cottage Permits require application with every renewal annually. Please download and fill out the form at this link to be D. <br /> �ppcfo reg-permitting renewal form..Ddf(sieov.org) <br /> Pa;CI 5s �( Z�( L�✓ <br /> eo <br /> Would you like Invoices electronically or need to date the email address his account?Fill out the <br /> form below or Email us at EH-Invoices@sjgov.org 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: 'hftr)s://www.siciov.oraldel)artmentlenvhealtiVonline-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 />