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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 AR0051093 <br /> INVOICE <br /> Return <br /> <br /> TEAS & MORE <br /> QUEEN B'S HERBAL TEAS & MORE 1075 CARRIE ST <br /> 1075 CARRIE ST STOCKTON, CA 95206 <br /> STOCKTON,CA 95206 <br /> OWNER : KEMP-PADEN, URSULA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0368559---Date of Invoice: 7129/2022 III IIIIII III VIII VIII VIII VIII VIII VIII VIIVII VIII II IIIIII VIIIIIIIIIII <br /> 7/29/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PRO547213 $ 186.00 <br /> Total forth is Invoice $ 186.00 <br /> Payment Due Date 8130/2022 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period 186.00 <br /> Important! Cottage Permits require application with every renewal annually. Please download and ill out the <br /> form at this link to be turned into EHD in order to receive your permit. <br /> httl)s://www.sigov.org/department/envhealth/­forms <br /> PAYMENT <br /> RECEIVED <br /> 5EP 0 7 2022 <br /> y Olt SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> eoWould you like Invoices electronically eed 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: 'hftps://www.sigov.orgidepartment/envhealttVfees/online-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 />