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486.00 <br />1/3,012024 <br />486.00 <br />\\\ <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, (7k 95205 <br />Phone: (209) 468-3420 <br />Page 1 <br />INVOICE <br />Return This INVOICE with Your PAYMENT <br />Account ID <br />Facility ID <br />Date Printed <br />AR0051622 <br />FA0026982 I <br />12/20/2023 111 <br />KELLEY, JOSEPH <br />FERMENT & GRIND <br />894 GOLDEN POND DR <br />MANTECA, CA 95336 <br />RE: FERMENT & GRIND <br />894 GOLDEN POND DR <br />MANTECA, CA 95336 <br />OWNER: KELLEY, JOSEPH <br />Date Health <br />Program Description Amount <br />Invoice # IN0390632 --- Date of Invoice : 12/20/2023 <br /> <br />Iv E11111111111111111111 1111111111111111111 1111111111111111111111111E <br />12/20/2023 1609 CLASS B COTTAGE FOOD-INDIRECT SALES <br /> <br />PRO547456 <br /> <br />$ 486.00 <br />Total for this Invoice <br />TOTAL DUE this Billing Period <br />ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INVOICE. YOU <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.orgidepartment/envhealth/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: jcastanedaa,sjgov.org <mailto:jcastaneda@sjgov.org> <br />PAYMENT <br />RECEIVED <br />JAN 1 6 2023 <br />SAN JOAQUIN COUNTY ENVI RONMENTAL <br />HEALTH DEPARTMENT <br />Please make Checks PAYABLE to: 'EHD' <br />or <br />Pay online at: 'httos://www.sjgov.org/department/envhealth/fees/online-fee-payment' <br />Penalties will be added to all Permit Fees <br /> For HMBP Fees <br /> For all SERVICE FEES <br />at the Rate of 100% of the Base Fee <br /> Penalties will be added at the Rate of 10% <br /> <br />Penalties will be added at the Rate of 10% <br />30 Days after the Due Date 60 Days after the Invoice Date <br /> 60 Days after the Invoice Date and each 30 Days thereafter <br />5254.mt <br /> End of report