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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 AR0051243 <br /> <br /> <br /> /g/2022 <br /> PEN, KELLY RE : KELLY'S KONFECTIONS <br /> KELLY'S KONFECTIONS 5868 FRED RUSSO DR <br /> 5868 FRED RUSSO DR STOCKTON,CA 95212 <br /> STOCKTON, CA 95212 <br /> OWNER : PEN, KELLY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0369186---Date of Invoice: 8/3012022 IIIIIIIIVIIVI VIIIIIIVI VIVIIVIIIII 111111111111 <br /> 8/30/2022 1608 CLASS ACOTTAGE FOOD-DIRECT SALES PR0547274 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> Payment Due Date 913 012 02 2 <br /> ATTENTION PAST DUE! <br /> YOUR HEALTH PERMIT WE WOULD APPRECIATE YOUR <br /> PAYMENT TODAY! <br /> FOR THE CURRENT YEAR <br /> MAY NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS ARE <br /> PAID IN FULL <br /> TOTAL DUE this Billing Period 186.00 <br /> ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE IN I YO <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 /> httos://www sjgov oroldocs/default-source/environmental-health-documents/food-and-restaurants/cfo-registration-pennittin <br /> 2-renewal-form.pdPsfvrsn=d950fb44 5 <https://gcc02.safelinks.protection.outlook.com/? <br /> url=https%3A%2F%2Fwww sjeov ore%2Fdocs%2Fdefault-source%o2Fenvironmental-health-documents%2Ffood-and-resta <br /> urants%2Fcfo-reeistration-permittine-renewal-form pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7C0I%7Cisalwolke%40s'2 <br /> ov ora%7COd058e9dfbee4d8fl Oc308dab2233bdc%7C3cff5075176a4OOd860a54960a7c7e5l%7CO%7CO%7C63801816164 <br /> 0113088%7CUnknown%7CTW FpbGZsb3 d8eyJ W Ijo iMC4wL iAwMDAiLCJOIjo i V21ttMzliLCJBTi16Ik 1 haWwiLCJXV C I <br /> 6Mn0%3 D%7C3 000%7C%7C%7C&sdata=6tRcKMC6hxT5tyggO4bBY 12lmMj 7b53zNcmtPtD%2FYTA%3 D&reserved= <br /> 0> <br /> You can return by mail to our department at the address on the top of your invoice or email completed forms and <br /> c m r,F I S 2 5 97775o f <br /> 775gf <br />