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SAN JOAQUIN COUNTY L. Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0051765 <br /> INVOICE <br /> Return This INVOICE w <br /> <br /> <br /> STIRRED &SPRINKLED SWEET TREATS BY JONI <br /> JONI 1750 CHARTWELL LN <br /> 1750 CHARTWELL LN TRACY, CA 95377 <br /> TRACY, CA 95377 OWNER : MATALAVAGE,JONI <br /> --Date-- - Health <br /> Program Description - - - -Amount - <br /> Invoice# IN0377335—Date oflmtolce: 1212912022 111111111111 <br /> 12/29/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0547537 $ 186.00 <br /> Totalforthisinvolu $ 186.00 <br /> 1/30/2023 <br /> TOTAL DUE this Billing Period $ 186.00 <br /> ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INVOICE YOU <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 /> hUs•//www sic ov org/docs/default-source/environmental-health-doeuments/food-and-restaurants/cfo-registration-pennittin <br /> g renewal form p2f?sfvrsn=d95QRM 5 5hUps•Hacc02.safelinks.protection.outlook.com/? <br /> url=https%3A%2F%2Fwww sit=-ov org%2Fdocs%2Fdefault-source%2Fenvirorunental-health-documents%2Ffood-and-rester <br /> urants%2Fcfo-registration permitting renewal-form pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7C0I%7Cj5a1wolke%405jg <br /> ov_or9 7C0d058e9dfbee4d8fI0c308dab2233bdc%7C3cff5075176a400d860a54960a7c7e5l 7C0%7C0%7063801816164 <br /> 01 13088%7CUnknown%7CTWFDbGZsb3 d8eyJ WljoiMC4wLjAwMDAiLCMlioi V2luMzliLCJBTil6ik l haWwiLCJXVCI <br /> 6MnO%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tyga04bBY12ImMi7b53zNcmtPtD%2FYTA%3 D&reserved= <br /> 0? <br /> Fc�rn s r-Wed, y-P f! <br /> You can return by mail to our department at the address on the top of your invoice or email completed fors and <br /> Please make Checks PAYABLE to: 'EHD'orPay online at:'https•I/www siooov.oruldementlenvhealth/fees/online-fee-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 />