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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 AR0048264 <br /> <br /> <br /> d 11/30/2021 <br /> BRESEE, MINDY RE : SIMPLY BREAD & MORE <br /> SIMPLY BREAD & MORE 1042 TULLOCH DR <br /> 1042 TULLOCH DR TRACY, CA 95304 <br /> TRACY, CA 95304 <br /> OWNER : BRESEE, MINDY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0354839---Date of Invoice: 8/2412021 1111111111111111111 It IIIII 1111111111111111111111 <br /> 8/24/2021 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PR0544941 $ 310.00 <br /> Total for this Invoice $ 310.00 <br /> Payment Due Date 9/3012021 <br /> ATTENTION PAST DUE! <br /> YOUR HEALTH PERMIT Delinquent charges over <br /> FOR THE CURRENT YEAR 90 days! <br /> MAY NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS ARE <br /> PAID IN FULL <br /> TOTAL DUE this Billing Period (L:j:1::0::0:0 ) <br /> Important! Cottage Permits require application with every renewal annually. Please download and I ut the <br /> form at this link to be turned into EHD in order to receive your permit. <br /> https://www.sqgov.or,g/department/envhealth/forms <br /> P,4 P 310 l 1�) 6vg <br /> C04C 4� ) 35- 30 2 .S 11 0 <br /> eo <br /> Would you like Invoices electronically or need t update the email address forthis 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: 'httos://www.s400v.oraldepartment/envhealt[Vonline-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 /> i2i,fxpl End of report <br />