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SAN JOAQUIN COUNTY Page 1 ENVIRONMENTAL HEALTH DEPARTMENT 1868 -HAZELTON AVENUE STJCKTON, CA 95205 Phone: (209)468-3420 Account ID AR0054215 INVOICE Return This INVOICE with Your PAYMENT Facility ID FA0027897 Date Printed 12/5/2023 HEILMAN, ETHAN RE : STOCKTON DELTA BEES STOCKTON DELTA BEES 6959 SHILOH PL 6959 SHILOH PL STOCKTON, CA 95219 STOCKTON, CA 95219 OWNER : HEILMAN, ETHAN Date Health Program Description Amount Invoice# IN0388309---Date of Invoice: 10/3/2023 111111 1111 E 11111�11 111 11111 1�1�1 1111 11111 1�1�1 11�11 111�11�IE IN 10/3/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0548732 $ 186.00 12/4/2023 9999 PAYMENT PT0029488 ($ 186.00) 12/5/2023 1609 CLASS B COTTAGE FOOD-INDIRECT SALES $ 300.00 Total for this Invoice $ 300.00 Payment Due Date 11/30/2023 ATTENTION PAST DUE! YOUR HEALTH PERMIT WE WOULD APPRECIATE YOUR PAYMENT TODAY! FOR THE CURRENT YEAR MAY NOT BE ISSUED UNTIL PAST DUE AMOUNTS ARE PAID IN FULL TOTAL DUE this Billing P iod $ 300.00 ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE I OU NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONE OF YOUR CFO PRODUCTS. CFO RENEWAL FORM HERE: https://www.s.P-ov.org/department/envhealtli/forms You can return by mail to our department at the address on the top of your invoice or email completed forms and confirmation of payment to: icastaneda2sieov.org<mailto:jcastaneda n sj o, v.or Please make Checks PAYABLE to: 'EHD' or Pay online at: 'httDs://www.sjgov.ora/department/envhealtlyfees/onIine-fee-Dayment' Penalties will be added to all Permit Fees For HMBP Fees For all SERVICE FEES 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% 30 Days after the Due Date 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter 52�4.rpl End of report