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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 AR0051615 <br /> <br /> <br /> 1/31/2023 <br /> FARMER, DEANNA RE : LOVE AND CONFECTION <br /> LOVE AND CONFECTION 9742 N SHELTON RD <br /> 9742 N SHELTON RD LINDEN, CA 95236 <br /> LINDEN, CA 95236 <br /> OWNER : FARMER, DEANNA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0376813---Date of Invoice: 12/12/2022 /III IIIIIVIIIVIVIIVIIIIII VIII VIII VI/ III VIII/////III <br /> 12/12/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PRO547446 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> Payment Due Date 1/3012023 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period 186.00 <br /> ATTENTION! U COP I WILL NOT B RENEWED ONLY PAYING <br /> NEE PL TE AND RETURN THE RENEWAL FORM AND INCLUDE LABEL �FONEOFYOIUR <br /> CFO PRODUCTS. CFO RENEWAL FORM HERE: <br /> haus•//www sjgov or2/docs/default-source/environmental-health-documents/food-and-restaurants/cfo-r gistration-pernlittiii <br /> g-renewal-form.pdf?sfvrsn=d950fb44 5 <https•//Pcc02.safelinks.protection.outlook.com/? <br /> url=https%3A%2F%2Fwww sigov org%2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood-and-sesta <br /> urants%2Fcfo-registration-permitting-renewal-form pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7COl%7Cjsalwolke%40so <br /> ov.org%7COdO58e9dfbee4d8nOc308dab2233bdc%7C3cff5075176a400d86Oa5496Oa7c7e5l%7CO%7CO%7C63801816164 <br /> 0113088%7CUnknow n%7CT W FpbGZsb3 d8eyJ W IjoiMC4wLiAwMDAiLCJOIjo iV2luMzliLCJBTi 161k 1 ha Ww iLCJX VCI <br /> 6MnO%3 D%7C3000%7C%7C%7C&sdata=6tRc KMC6hxT5tyggO4bBY 12ImMj 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 /> P�y �i86 ► 2111,, <br /> �OnC J �_ 6 2T_ 1 '7v <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'httys://www.sioov.ora/deoartmentlenvhealth/fees/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 /> S <br />