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SAN JOAQUIN COUNTY <br /> ENVIRONMENJIAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR00 <br /> <br /> 025766 <br /> Date Printed 1/30/2023 <br /> JHA, SANGEETA RE : DESI <br /> DESI 9933 KISS LN <br /> 9933 KISS LN STOCKTON,CA 95212 <br /> STOCKTON, CA 95212 <br /> OWNER : JHA, SANGEETA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0377301 --Date of Invoice: 12129/2022 I IIIIIII IIIIII III IIIII IIIII IIIA VIII VIII VIII VIII VIII VIII IIII111111IIIII 11111111 <br /> 12/29/2022 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PR0545401 $ 312.00 <br /> 1/15/2023 9997 CORRECTION TO A CHARGE PR0545401 ($ 312.00) <br /> 1/30/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> Payment Due Date 1/30/2023 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period $ 186.00 <br /> ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYI THE IO <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.sj o>�.org/docs/default-source/environmental-health-documents/t'ooci-and-restaurants/cfo-registration-permittin <br /> g-renewal-form.pdPsfvrsn=d9501b44 5 <https://acc02.safeliiiks.prolection.outlook.com/? <br /> url=https%3 A%2 F%2Fwww.sj gov.org%2Fdocs%2 Fdefault-source%2Fenvironlnental-health-documents%2Ffood-and-recta <br /> urants%2Fcfo-registration-oermittinl?-renewal-form.pdf%3Fsfvrsne/u3Dd950tb44 5&data=05%7C0l%7C'salwolke%40si <br /> ov.org%7COdO58e9dfbee4d8flOc308dab2233bdc%7C3ctf5075176a400d86Oa5496Oa7c7e51%7CO%7CO%7C63801816164 <br /> 01 13088%7CUnknown%7CTW FpbGZsb3d8eyJ W ljoiMC4wLjAwMDAiLCJOlioiV2luMzl iLCJBTil6lk l ha W wiLCJXVCI <br /> 6Mn0%3 D%7C3000%7C%7C%7C&sdata=6tRc KMC6hxT5tyggQ4bBY 121 m Mj 7 b53zNcmtPtD%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 <br /> emaiAACCins and <br /> Uisw .k- RECEIVED <br /> l bf-� 0(__ JAN 3 0 2023 <br /> (�// Please make Checks PAYABLE to: 'EHD' SAN JOAQUIN COUNTY <br /> ,/tYY ( or ENVIRONMENTAL <br /> �1EALTH DEPARTMENT <br /> Pay online at: 'https:liwww.sigov.oro/departmentlenvhealtWfees/online-fee- ayment' <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 />