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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E •HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />Account I <br />INVOICE <br />Return This INVOICE with Your PAYMENT Facility ID <br />Date Printed <br />ALMANZA, KRISTEN RE: KRISTEN'S COOKIES <br />KRISTEN'S COOKIES 5987 DURHAM FERRY RD <br />5987 DURHAM FERRY RD TRACY, CA 95304 <br />TRACY, CA 95304 <br />OWNER: ALMANZA, KRISTEN <br />Page 1 <br />AR0051949 <br />FA0027117 <br />4/4/2023 <br />Date Health <br />Program Description Amount <br />Invoice # IN0378324 --- Date of Invoice : 3/7/2023 <br />3/7/2023 1608 CLASSA COTTAGE FOOD -DIRECT SALES <br />PR0547634 $ 186.00 <br />Total for this Invoice $ 186.00 <br />Payment Due Date 4/30/2023 <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 />httas://www. sjgov.oraldocs/default-source/environmenta I-health-documents/food-and-restaurants/cfo-registration-permittin <br />9-renewal-form.pdf?sfvrsn=d950fb44 5 <https://gcc02.safelinks.protection.outlook.com/? <br />url=https%3 A%2F%2Fwww. sjgov.org%2Fdocs%2 Fdefault-source%2Fenv ironmental-health-documents%2Ffood-and-rests <br />urants%2Fcfo-registration-permitting-renewal-form.pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7C0I%7Cjsalwolke%40sig <br />ov.orp%7COd058e9dfbee4d8fl Oc308dab2233bdc%7C3cff5075176a400d860a54960a7c7e5l%7CO%7CO%7C63801816164 <br />0113088%7CUnknown%7CTW FpbGZsb3d8eyJ W IjoiMC4wLiAwMDAiLCJOIjoiV2luMzliLCJBTil6lk 1 haWwiLCJXVCI <br />6Mn0%3D%7C3000%7C%7C%7C&sdata=6tRc KMC6hxT5tvguO4bBY 12lmMi7b53zNcmtPtD%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 email completed forms and <br />Please make Checks PAYABLE to: 'EHD' <br />or <br />Pay online at:'httP5://www.siaov.oro/depa tmenVenvhealt[Vfees/online-fee-Dayment' <br />aha <br />Penalties will be added to all Permit Fees <br />For HMBP Fees <br />For all SERVICE FEES <br />at the Rate of 100% of the Base Fee <br />Penalties will be added at the Rate of 100% <br />Penalties will be added at the Rate of 10% <br />30 Days after the Due Date <br />60 Days after the Invoice Date <br />60 Days after the Invoice Date and each 30 Days thereafter <br />5254.rpt End of report <br />