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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 AR0050314 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0026449 <br /> Date Printed 2/1/2022 <br /> WARD,JEREMIAH RE : CALIBRATE COFFEE ROASTERS <br /> CALIBRATE COFFEE ROASTERS 1040 EASTLAKE CIR <br /> 1040 EASTLAKE CIR TRACY,CA 95304 <br /> TRACY,CA 95304 <br /> OWNER: WARD,JEREMIAH <br /> Date Health <br /> Program Description Amount ! <br /> Invoice# IN0363677—Date of Invoice: 1/28/2022 IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIIIIII IIIIII VIIIIIIIIII <br /> 1/28/2022 1609 CLASS B COTTAGE FOOD.INDIRECT SALES PRO546611 $310.00 <br /> Total for this Invoice $310.00 <br /> Payment Due Date 3/2/ 2 <br /> TOTAL DUE this Billing Period 4310.00 <br /> Important! Cottage Permits require application with every renewal annually. Please download and fill out the / <br /> form at this link to be turned into EHD in order to receive your permit. <br /> htti)s://www.sigov.org/department/envhealth/forms <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 5 2022 <br /> SAN JOAGON COUNTY <br /> HEALTIH DEAAR,,AEN1 <br /> 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:'https://www.sagov.oro/department/envhealth/online-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 />