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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 (~ HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 . <br /> 1 <br /> AccountlD AR0053239 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0027553 <br /> Date Printed 2/5/2024 <br /> RAINWATER, DAVID J RE : SAINT PETE'S BAKERY <br /> SAINT PETE'S BAKERY 1849 ORVIS DR <br /> 1849 ORVIS DR STOCKTON, CA 95209 <br /> STOCKTON, CA 95209 <br /> OWNER : RAINWATER, DAVID J <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0390825---Date of Invoice: 12/21/2023 1INIII 111111 111 11111 IIH 11111 111 1111 1111 U11 1111 IUI IIII 111I 11111111 <br /> 12/21/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0548280 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> 1/30/2024 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period 186.00 <br /> ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INV CE. U <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 /> httl2s://www.sigov.orp-/del2artment/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: jcastanedana sjgov.org<mailto:jcastaneda cr�sj og v.or <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'https://www.sjgov.org/denartment/envhealttyfees/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 thereafter <br /> 5254.rpt End of report <br />