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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br />1868 E HAZELTON AVENUE / <br />STOCKTON, CA 95205V/ <br />Phone: (209) 468-3420 <br />Account ID AR0048690 <br />INVOICE <br />Return This INVOICE with Your PAYMENT Factliry ID FA0025746 <br />Date Printed F 12/2/2021 <br /> <br /> <br /> <br /> <br />OWNER: ORMONDE, KRISTIE <br />Date Health <br />Program Description AmeLnl <br />Invoice # IN0362304 — Date of Invoice : 11/3012021 <br />11!30/2021 1608 CLASS A COTTAGE FOOD -DIRECT SALES <br />PRO545302 $ 155.00 <br />Total for this Invoice $ 155. 0 <br />TOTAL DUE this Billing Period $t� 155,00 <br />Importantl Cottage Permits require application with every renewal annually. Please download and fill out'm-e <br />form at this link to be turned into EHD in order to receive your permit. <br />httDs://www.s gov.org/dei)artment/envhealth/forms <br />V 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:'Iitttps://www.sioov.QrcVdeuartmefitleiivliealtWoriiiiie-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 />Penalties will be added at the Rate of 10% <br />30 Days after the Due Date <br />60 Days after the Invoice Date <br />60 Days after the Invoice Date and each 30 Days thereafter <br />Ind of report <br />pK65'�5 302- <br />