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SAN JOFWUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0053141 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0027520 <br /> Date Printed 2/1/2024 <br /> JACOBS, MICHELE RE : SWEETS & DOUGH <br /> SWEETS & DOUGH 19818 N RIPON RD <br /> 19818 N RIPON RD RIPON, CA 95366 <br /> RIPON, CA 95366 <br /> OWNER : JACOBS, MICHELE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0390647---Date of Invoice: 12/20/2023 �1111 Eli U 11111 1�11 1EI 111 Ei�11E 11111 111 11111 1111 111111 11111 1E�111 <br /> 12/20/2023 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PR0548231 $ 486.00 <br /> Total for this Invoice I $ 486.00 <br /> Payment Due Date 1/30/2024 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period $ 486.00 <br /> ATTENTION! YOUR F PERMIT ILL NOT BE RENEWED BY N PAYINGTHEI <br /> NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ON OF YO R <br /> CFO PRODUCTS, CFO RENEWAL FORM HERE: <br /> littl2s://www.sip-ov.orgJdeDartinent/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: icastaneda n sigov.orgr <maiIto:jcastaneda(cr�sj ov.org? <br /> v\. <br /> v <br /> Please make Checks PAYABLE to: 'EHU <br /> or <br /> Pay online at: 'httr)s://www.sjgov.org/department/envheaIttvfees/onIine-fee-Dayment' <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 I:nd ol'report <br />