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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 /> INVOICE Account ID AR0052579 <br /> Return This INVOICE With Your PAYMENT FacilitylD FA0027324 <br /> Date Printed 6/28/2023 <br /> ACEVEDO-MONREAL,ALEXARELY RE : QUE RICO BAKING CO <br /> QUE RICO BAKING CO 1908 HASTING DR <br /> 1908 HASTING DR MANTECA, CA 95336 <br /> MANTECA, CA 95336 <br /> OWNER : ACEVEDO-MONREAL,ALEXARELY <br /> I Date Health <br /> Program Description Amount I <br /> Invoice# IN0381960—Date of Invoice: 612812023 I IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�III11111 11111 <br /> 612812023 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PRO547923 S 312 00 <br /> Total forth is Invoice $ 312.00 <br /> TOTAL DUE this Billing Period 312.00 <br /> ATT ENTI N! 1'O R CFO PERMIT WILL NOT BE RENEWED BY ONI Y PAYING THE INV ICE- YOU <br /> NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONE <br /> CFO PRODUCTS.CFO RENEWAL FORM HERE: <br /> hns•//www sjsov orgidocs/default-sourceJenvironmental-health-documents/food-and-restaurants/cfo-reizistration-permitti_n <br /> g renewal form pdf.)sfvrsn=d950fb44 5<h!Ms:Hgcc02.safelinks.protection.outlook.com/? <br /> url—hqps%3A%2F%2Fwww,s3p-ov or$%2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood-and-resta <br /> urants o2Fcfo-registration permitting_renewal form pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7C01%7Ctsahvo1ke%40je <br /> ovor /o7C0d058e9dfbee4d8f10c308dab2233bdc%7C3cff5075176a400d860a54960a7c7e5[%7C0%7C0%7C63801816164 <br /> 0113088%7CUnknown%7CTWFpbGZsb3d8eyJWljoiMC4wLiAwMDAiLCJQlioiV2luMzliLCJBTi16Ik Iha WwiLCJXVC[ <br /> 6Mn0%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tvaa04bBY 121mMt7b53zNcmtPtD%2FYTA°o3 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:'https //www sigov ora/departmentlenvhealttVfees/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 thereafte <br /> 5254mt End of report <br />