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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 />Page 1 <br />INVOICE <br />Return This INVOICE with Your PAYMENT <br />Account ID <br />Facility ID <br />Date Printed <br />AR0052960 <br />FA0027471 <br />12/11/2023 <br />PERRY, STEPHANIE <br />PERRY'S FOOD FOR THE SOUL <br />1721 CHAPARRAL WAY <br />STOCKTON, CA 95209 <br />RE: PERRY'S FOOD FOR THE SOUL <br />1721 CHAPARRAL WAY <br />STOCKTON, CA 95209 <br />OWNER: PERRY, STEPHANIE <br />Date Health <br />Program Description Amount <br />Invoice # IN0389375 --- Date of Invoice: 10/18/2023 <br /> 111011 111111 101111 1 0111101111100111111111111101 El 11E11 1 1111 1 111 11 11 <br />10/18/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES <br /> <br />PR0548135 $ 186.00 <br /> <br />Total for this Invoice <br /> <br />186.00 <br /> <br />Payment Due Date <br /> <br />11/30/2023 <br />SECOND NOTICE <br /> <br />TOTAL DUE this Billing Period' <br /> <br />186.00 <br /> <br />ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INVOI E. YOU <br />NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONE S R <br />CFO PRODUCTS. CFO RENEWAL FORM HERE: <br />https://www.sigov.org/department/envhealth/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: jcastaneda@sjgov.org <mailto: jcastaneda@sjgov.org> <br />Please make Checks PAYABLE to: 'EHD' <br />or <br />Pay online at: 'httos://www.sjgov.org/department/envhealth/feesionline-fee-paymenr <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