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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phollie: (209) 468-3420 <br /> Account ID AR0051298 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0026860 <br /> Date Printed 12/6/2023 <br /> ELLIOTT, CLINT RE : MR WINTEAS <br /> MR WINTEAS 23346 S FREDERICK RD <br /> 23346 S FREDERICK RD RIPON, CA 95366 <br /> RIPON, CA 95366 <br /> OWNER : ELLIOTT, CLINT W <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0388150---Date of Invoice: 9/28/2023 1111111111011.11 11�11111111111111111EIIIIIIIIIIIIIIIIIIII9/28/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0547290 $ 186.00 <br /> is nvoice $ 186.00 <br /> Payment Due Date 10/30/2023 <br /> ATTENTION PAST DUE! <br /> YOUR HEALTH PERMIT WE WOULD APPRECIATE YOUR <br /> FOR THE CURRENT YEAR PAYMENT TODAY! <br /> MAY NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS ARE <br /> PAID IN FULL <br /> TOTAL DUE this Billing Period $1 186.00 <br /> ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INVOICE. U <br /> NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONE OF YOUR <br /> CFO PRODUCTS. CFO RENEWAL FORM HERE: <br /> https://www.sjgov.ory/department/enviiealtli/forms <br /> You can return by mail to our department at the address on the top of your invoice or email completed forms and <br /> confirmation of payment to: jcastaneda a.sjgov.org<mailto:jcastaneda�sj Job v.or <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'https://www.siaov.orci/departmenVenvhealtwfees/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 I ndofrcporl <br />