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EHD Program Facility Records by Street Name
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TULLOCH
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1600 - Food Program
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PR0544941
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Entry Properties
Last modified
1/19/2024 11:40:42 AM
Creation date
3/17/2022 10:18:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0544941
PE
1609
FACILITY_ID
FA0025550
FACILITY_NAME
SIMPLY BREAD & MORE
STREET_NUMBER
1042
STREET_NAME
TULLOCH
STREET_TYPE
DR
City
TRACY
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
1042 TULLOCH DR
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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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 /> INVOICE <br /> Return This INVOICE with Your <br /> <br /> <br /> RESEE, 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# IN0369194---Date of Invoice: 8/30/2022 IIIIIIIII VIIIV IVIIVI VIIV IVIIIVII VII II IIIIII 111111111111 <br /> 8/30/2022 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PRO544941 $ 312.00 <br /> Totalfor this Invoice $ 312.00 <br /> Payment Due Date 9130/2022 <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 $ 312.00 <br /> ATTENTION! YOUR FO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INVOIC <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 /> https•//www sjgov ore/does/default-source/environmental-1lealth-doeuments/food-and-restaurants/cfo-registration-permittin <br /> 2-renewal-form.pdVsfvrsn=d950fb44 5 <https://gcc02.safelinks.protection.outlook.com/? <br /> url=https%3 A%2F%2Fwww.si2ov.org%2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood-and-recta <br /> urants%2Fcfo-registration- ermittine-renewal-form.pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7C0I%7Cjsalwolke%40s' <br /> ov.org%7COdO58e9dfbee4d8fl Oc308dab2233bdc%7C3cff5075176a400d860a54960a7c7e51%7C0%7C0o/u7C63801816164 <br /> Ol 13088%7CUnknown%7CTW FpbGZsb3 dBeyJ W IjoiMC4wLjAwMDAiLCJQIjoi V2luMzliLCJBTiI6Ik 1 haW wiLCJX V CI <br /> 6MnO%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tyggO4bBY 12ImMj7b53zNcmtPtD%2FYTA%3D&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 /> �o nE�' � I S 2 S � �l ►2 S'� �-- <br />
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