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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 AR00517 55 <br /> INVOICE LMMEMEMOMEMEM <br /> <br /> <br /> SPRINKLED SWEET TREATS BY <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 of Invoice: 12/29/2022 II I I I I V II V VI VIII VIII V I V I VII V I I I III VIII IIII IIII <br /> 12/29/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0547537 $ 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 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 /> https://www.s*gov.orgldocs/de fau lt-source/environmental-health-documents/food-and-restaurants/cfo-reeistration-perm ittin <br /> g-renewal-form.pdf9sfvrsn=d950fb44 5 <https:H2cc02.safelinks.protection.outlook.com/? <br /> url=https%3 A%2F%2Fwww.sj gov.or¢%2Fdocs%2Fdefault-source%2Fenvironinental-health-documents%2Ffood-and-resta <br /> urants%2Fcfo-registration-permitting-renewal-form.pdf%3Fsfvrsn%3Dd95Ofb44 5&data=05%7C0I%7Cjsa1wo1ke%40si <br /> ov.or2%7C OdO5 8e9dfbee4d8fl Oc308dab2233bdc%7C3 cff 5075176a400d86Oa5496Oa7c7e5 l%7C0%7CO%7C63 801816164 <br /> 01 13088%7CUnknown%7CT W FpbGZsb3 d8eyJ WlioiMC4wLjAwMDAiLCJOl joi V2luMzliLCJBTil61k 1 ha WwiLCJXVCI <br /> 6MnO%3 D%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 /> Gil <br /> Carle 15� B q1 ItW� <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'https://www.siaov.orddeoartment/envhealth/fees/online-fee-Davment' <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.r01 S e-0 5415 31 End of repors <br />