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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 />INVOICE <br />Return This INVOICE with Your PAYMENT Facility 11) <br />Date Printed <br /> <br /> <br /> <br /> <br />OWNER: MADRID, PATRICIA <br />Page 1 <br />AR0046778 <br />FA0024932 <br />6/31/2022 <br />4 Date Health <br />Program Description Amount <br />Invoice ll IN0369192 —Date of Invoice: 6/30/2022 <br />8130,2022 1608 CLASS A COTTAGE FOOD -DIRECT SALES <br />PROS43949 $186.00 <br />Toblfor Mis Invoice $186.00 <br />TOTAL DUE this Billing Period <br />/ $ 18&00 <br />Important! Cottage Permits require application with every renewal annually. Please download and flit out Ne_/ <br />form at this link to be turned into EHD in order to receive your permit. <br />https://www.sigov.org/department/envhealth/forms <br />;tib <br />7 9 <br />REQ tEVED <br />SEP 2 9 2022 <br />sol pE'PA OMEN} <br />eo <br />Wouldyou like Invoices electronically or need to update the email address for this account?Fill out the <br />rmform below with the infoation with up to 2 email addresses: <br />Emailf <br />, C <br />Email 2 <br />Please make Checks PAYABLE to: 'EHD' or <br />Pay onfine at: [_i.us: vr•,evisiccv.orcidcpa lmer.uenvneaP,­fees:'oniine-fee-Daymen <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 atter the Invoice Date and each 30 Days thereafter <br />5254.rpt 1 I V/ r/ v V j Did of report <br />