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EHD Program Facility Records by Street Name
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DUNCAN
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1600 - Food Program
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PR0547648
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Entry Properties
Last modified
6/20/2023 2:58:12 PM
Creation date
5/12/2022 4:36:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547648
PE
1609
FACILITY_ID
FA0027126
FACILITY_NAME
PYRAMID DESSERTS
STREET_NUMBER
1721
STREET_NAME
DUNCAN
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
1721 DUNCAN RD
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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TOTAL DUE this Billing Period <br />Payment Due Date Ai 30/2023 <br />Ear <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />Page 1 <br />INVOICE <br />Return This INVOICE with Your PAYMENT <br />Account ID <br />Facility ID <br />Date Printed <br />AR0052041 <br />FA0027126 <br />3/31/2023 <br />ABOUSAMAHA, MOHAMED RE: PYRAMID DESSERTS <br />PYRAMID DESSERTS 1721 DUNCAN RD <br />1721 DUNCAN RD TRACY, CA 95376 <br />TRACY, CA 95376 <br />OWNER: ABOUSAMAHA, MOHAMED <br />Date Health <br />Program Description Amount <br />Invoice # IN0378328 --- Date of Invoice : 3/7/2023 <br /> <br />11111111111111111111110111111111111411111111111111111111111030110111 <br />3/7/2023 1609 CLASS B COTTAGE FOOD-INDIRECT SALES <br /> PR0547648 $ 312.00 <br />Total for this Invoice 312.00 <br /> <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.sjgov.org/docs/default-source/environmental-health-documents/food-and-restaurants/cfo-registration-permittin <br />g-renewal-form.pdf?sfvrsn=d950fb44 5 <https://gcc02.safelinks.protection.outlook.com/? <br />url=https%3A%2F%2Fwww.sigov.org%2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood-and-resta <br />urants%2Fcfo-registration-permitting-renewal-form.pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7C01%7Cjsalwolke%40sjg <br />ov.org%7C0d058e9dfbee4d8f10c308dab2233bdc%7C3cff5075176a400d860a54960a7c7e51%7C0%7C0%7C63801816164 <br />0113088%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAILCJQIjoiV2IuMzIiLCJBTII61k1haWwiLCJXVCI <br />6Mn0%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tygqQ4bBY12ImMj7b53zNcmtPtD%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 />k 3Il 3720z23 <br />(690 C 15-6475-1 (ei t <br />Please make Checks PAYABLE to: 'EHD' <br />or <br />Pay online at: 'https://www.sigov.org/department/envhealth/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% <br /> <br />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
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