Laserfiche WebLink
SAN kr.iAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0052127 <br /> INVOICE <br /> Facility to FA0027178 <br /> Return This INVOICE with Your PAYMENT <br /> Date Printed 4/8/2024 <br /> CASAS, DEZARE RE: THE COOKIELYFE <br /> THE COOKIELYFE 2274 MORNINGSIDE CT <br /> 2274 MORNINGSIDE CT TRACY, CA 95376 <br /> TRACY, CA 95376 <br /> OWNER : CASAS, DEZARE <br /> Date Health <br /> PrNmm Description Amount <br /> Invoice# IN0392911—Date of Invoice: 418/2024 111111111ININ111111111ILII111111lIIN <br /> 4/8/2024 1608 CLASS A COTTAGE FOOD-DIRECT SALES PRO547719 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> 5/30/2024 <br /> TOTAL DUE this Billing Period $ 186.00 <br /> ATTENTION! YOUR CFO PERMIT WILL, NOT BE RENEWED BY ONLY PAYING THE INVOICE. 1'011 <br /> NEED TO CON'IPLETE AND RETURN THE RENEWAL, FORM AND INCLUDE A LABEL OF ONE OF YOUR <br /> CFO PRODUCTS. CFO RENEWAL FORM HERE: <br /> https://www sj_otr v orp-/department/envliealtli/forms <br /> You can return by mail to our department at the address on the top of your invoice or email completed forms and <br /> confirmation of payment to: icastanedaLasi got, v org <maiIto:icastaneda(a)sjt;ov.ony% <br /> eco P>�C -e s 5 e rte, <br /> e z.�•r e c�s�SC� 5 . w � <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'httvs'//www siaov orglder)artmont/envhealth/feo-lonline fee pavinent' <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 Involce Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt Fnd of report <br />