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SAN JOAWIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />186d E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209)468-3420 <br />Accountl0 <br />INVOICE <br />Return This INVOICE with Your PAYMENT Facility ID <br />Date Printed <br /> <br /> <br /> <br /> <br />OWNER: ALBARILLO, ABIGAIL <br />Page 1 <br />AR0045741 <br />FA0024497 <br />2/10/2022 <br />Date Health <br />Program Description Amount <br />Invoice # IN0363179 --- Date of Invoice : 12/29/2021 <br />12/29/2021 1608 CLASS A COTTAGE FOOD -DIRECT SALES <br />SECOND NOTICE <br />I (IIIIII IIIIII III VIII VIII VIII VIII VIII VIII (IIII VIII VIII IIII IIIIII VIII IIII IIII <br />PRO542593 $ 155.00 <br />Tota lfor this Invoice $ 155.00 <br />Payment Due Date 1/301202 <br />TOTAL DUE this Billing Period $ 155.00 <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 />https://www.sigov.org/department/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: 'haps•//www siaov org/departmentlenvhealth/feestonline-feeoayment//www siaov org/departmentlenvhealth/feestonline-feepayment' <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 100/6 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 />