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AN 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 />AR0053240 <br />FA0027554 ' <br />I_ 12/21/2023 71 <br />BAUTISTA, VIKKY <br />RE: ENCHANTED SWEETS <br />ENCHANTED SWEETS <br />1201 PROSPECTOR DR <br />1201 PROSPECTOR DR <br />STOCKTON, CA 95210 <br />STOCKTON, CA 95210 <br />OWNER: BAUTISTA, VIKKY <br />Date Health <br />Program Description Amount I <br />Invoice # IN0390826 --- Date of Invoice : 12/21/2023 <br />1111111 11111 111 11111 11111 11111111111111111 11111 11111 11111 liii 01111 1 1111 1 111 11 11 <br />12/21/2023 1 608 CLASS A COTTAGE FOOD-DIRECT SALES <br />PR0548281 $ 186.00 <br />Total for this Invoice <br /> <br />186.00 <br /> <br />TOTAL DUE this Billing Period <br /> <br />ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INVOICE. YOU <br />NP 1'Q COMPLET AND INCLUDE A LABEL OF ONE OF YOUR <br />CFO PRODUCTS. CFO RENEWAL FORM HERE: <br />haps://www.sjgov.org/department/envhealth/forms <br />You can return by mail to our depat talent at the address on the top of your invoice or email completed forms and <br />confirmation of payment to: icastaneda@sjzov.org <mailto:jeastanedasjzov.oro,› <br />PAYMEN T REcivED <br />JAN 2 6 2024 <br />sAN JOA QU/N COUNT ENVIRO NMENT AL Y <br />HEALTH DEPARTmENT <br />Please make Checks PAYABLE to: 'END' <br />or <br />Pay online at: 'httos://www.sjgov.orcildepartment/envhealth/feesionline-fee-paymer, ' <br />Penalties will be added to all Permit Fees <br />at the Rate of 100% of the Base Fee <br />30 Days after the Due Date <br />For HIVIBP Fees <br />Penalties will be added at the Rate of 10% <br />60 Days after the Invoice Date <br />For all SERVICE FEES <br />Penalties will be added at the Rate of 10% <br />60 Days after the Invoice Date and each 30 Days thereafter <br />5254.rpt End of report