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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868E ON AVENUE n <br /> STOCKTONTON, CA 95205 ;VC <br /> Phone: (209) 468-3420 <br /> <br /> <br /> ty ID FA0025926 <br /> Date Pfinted 7/19/2022 <br /> ADDISON, SHARON RE : UNDERGROUND <br /> UNDERGROUND 15377 JEWEL ST <br /> 15377 JEWEL ST LATHROP, CA 95330 <br /> LATHROP, CA 95330 <br /> OWNER : ADDISON, SHARON <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0364987---Date of Invoice: 3/31/2022 �1111111 EIII III IIIII 1111111111111111111111111111111111111111 Id 11111111111 IN III <br /> 3/31/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PRO545817 $ 155.00 <br /> Total for this Invoice I $ 155.00 <br /> Payment Due Date 4/30/2022 <br /> ATTENTION PAST DUE! <br /> YOUR HEALTH PERMIT Delinquent 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 Period !fill <br /> 155.00 <br /> Important! Cottage Permits require application with every renewal annually. Please download and out t e <br /> form at this link to be turned into EHD in order to receive your permit. <br /> https://www.sigoy.org/department/envhealth/forms <br /> �0�, j � IS5 - 7111g�Z <br /> Cafe I I � 8 "q© °1Z �, <br /> eo <br /> Would you like Invoices electronically or need to updatehe 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.siciov.oraldepartmentlenvhealth/feestonline-fee-oavment' <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 S End of report <br />