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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 AR00 <br /> <br /> <br /> Date Printed 4/21/2022 <br /> COLLINS, BARBARA RE : BELOVED BARB BAKES <br /> BELOVED BARB BAKES 1040 W KETTLEMAN LN #306 <br /> 1040 W KETTLEMAN LN #306 LODI, CA 95240 <br /> LODI, CA 95240 <br /> OWNER : COLLINS, BARBARA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0364295---Date of Invoice: 2/25/2022 III I I I I II IIIIIIIIIIII IIIII IIIII I I I I IIIII IIIII I II I IIIIIIIII IIII <br /> 2/25/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0546661 $ 155.00 <br /> Total forth is Invoice I $ 155.00 <br /> Payment Due Date 313012022 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period #$ 155. <br /> 00 <br /> Important! Cottage Permits require application with every renewal annually. Please download and 'II out the <br /> form at this link to be turned into EHD in order to receive your permit. <br /> httr)s://www.sigov.org/dei)artment/envhealth/­forms <br /> - 5 <br /> C©nF � I �12 �130 '�9y� <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: 'https://wwwwww.sjgov.or�der)artmentlenvhealtlVfees/online-fee-I)avmentor�der)artmentlenvhealtlVfees/online-fee-I)avment' <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 <br /> after the Invoice <br /> /Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt y O `c ( `^'Q End of report <br />