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SAN,JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E FiAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0040873 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0022347 <br /> Date Printed 4/27/2023 <br /> KATZAKIAN, CYNDI RE : BAM TREATS <br /> BAM TREATS 9 N HUTCHINS ST <br /> PO BOX 1176 LODI, CA 95240 <br /> LODI, CA 95241 <br /> OWNER : KATZAKIAN, CYNDI <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0378868---Date of Invoice: 3/28/2023 VIII IIII IIII <br /> 3/28/2023 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PRO538896 S 312 00 <br /> Total for this Invoice $ 312.00 <br /> Payment Due Date 4/30/202 <br /> TOTAL DUE this Billing Period $ 312.00 <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 /> hMs•//www sj og v ory-/docs/default-source/environmental-health-documents/food-and-restaurants/cfo-registration-permittin <br /> g-renewal-form.12df?sfvrsn=d950fb44 5 <https://gcc02.safelinks.protection.outlook.com/? <br /> url=https%3A%2F%2Fwww ssigov org%2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood- nd-resta <br /> urants%2Fcfo-registration-permittine-renewal-form pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7C01%7Cjsalwol' %40sjg <br /> ov org%7COdO58e9dfbee4d8f10c308dab2233bdc%7C3cff5075176a400d86Oa54960a7c7e51%7C0%7C0%7C63F 816164 <br /> 0113088%7CUnknown%7CTWFpbGZsb3d8eyJWlioiMC4wLj_AwMDAiLCJOIjoiV2luMzliLCJBTiI6lklhaW� .CJXVCI <br /> 6MnO%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tyggQ4bBY12ImMi7b53zNcmtPtD%2FYTA%3D ..reserved= <br /> 0> <br /> You can return by mail to our department at the address on the top of your invoice or email completed forms and <br /> RECEIVED <br /> Mai 11 V3 <br /> SA ENO RONMEN p'(Y <br /> NEpLiN oEPAN MENS <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: ' <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 />