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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 />Account ID <br />Return This INVOICE with Your PAYMENT Facility lD <br />Date Printed <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />OWNER: BILLBERRY, SHELLY <br />Page 1 <br />AR0047099 <br />FA0025069 <br />2/24/2023 <br />Date Health <br />Program Description Amount <br />Invoice # IN0376804 --- Date of Invoice : 12/12/2022 <br />12/12/2022 1608 CLASS A COTTAGE FOOD -DIRECT SALES PR0544073 $ 186.00 <br />Total for this Invoice I $ 186.00 <br />Payment Due Date 1/30/2023 <br />ATTENTION PAST DUE! <br />YOUR HEALTH PERMIT <br />FOR THE CURRENT YEAR <br />MAY NOT BE ISSUED UNTIL <br />PAST DUE AMOUNTS ARE <br />PAID IN FULL <br />WE WOULD APPRECIATE YOUR <br />PAYMENT TODAY! <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 />https://www.sj ov.org/does/default-source/environmental-health-documents/food-and-restaurants/cfo-reizistration-permiUin <br />P--renewal-form.12dPsfvrsn=d950Ib44_5 <https:Hp-cc02.safelinks.protection.outlook.com/? <br />url=https%3A%2F%2Fwww.sj og v.orlz%2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood-and-recta <br />urants%2Fcfo-registration-permitting-renewal-form.pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7COI%7Cjsalwolke%40so <br />ov.orR%7C0d058e9dfbee4d8flOc308dab2233bdc%7C3cff5075176a400d86Oa5496Oa7c7e5l%7CO%7CO%7C63801816164 <br />01 130880/o7CUnknown%7CTW FpbGZsb3 d8evJ W IjoiMC4wLjAwMDAiLCJOIjoi V2luMzIiLCJBTi16lk 1 haWwiLCJX V CI <br />6MnO%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tyeD04bBY121mM i7b53zNcmtPtD%2FYTA%3D&reserved= <br />M <br />You can return by mail to our department at the address on the top of your invoice or email completed forms and <br />