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,SAN JOAQUIN COUNTY Pae 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT g <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0045 <br /> <br /> <br /> /5/2023 <br /> ALBARILLO,ABIGAIL RE : SWEET CREATIONZ <br /> SWEET CREATIONZ 1864 WATER LILY DR <br /> 1864 WATER LILLY DR LATHROP, CA 95330 <br /> LATHROP, CA 95330 <br /> OWNER : ALBARILLO,ABIGAIL <br /> Date Health <br /> Program Description Amount <br /> Invoice# IND377292--Date of Invoice: 12/29/2022 1111111111p1111111111111IN IN <br /> 12/29/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PRO542593 $ 186.00 <br /> Total for this Invoice $ 6.00 <br /> 1130/2023 <br /> TOTAL DUE this Billing Period 186.00 <br /> TTENTION! YOUR F PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INV I . OU <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 /> https•//www sjgov.orWdocs/default-source/environmental-health-documents/food-and-restaurants/efo-registration-perinittin <br /> g-renewal-form pdf?sfvrsn=d950fb44 5<hftps://2cc02.safelinks.protection.outlook.com/? <br /> url=https%3A%2F%2Fwww sigov org'/o2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood-and-resta <br /> urants%2Fcfo-reeistration_permitting-renewal-form pdf%3Fsfvrsn%3Dd95Ofb44 5&data=05%7C0I%7Cisalwolke%40sjg <br /> ov org%7COd058e9dfbee4d8fl Oc308dab2233bdc%7C3cff5075176a400d860a54960a7c7e51%7C0o/u7C0%7063801816164 <br /> 01 13088%7CUnknown%7CTWFpbGZsb3 d8eyJ WI'oiMC4wLjAwMDAi LCJOIjoi V2luMzliLCJBTil6lk I haWwiLCJX VCI <br /> 6Mn0%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tyggO4bBY 12hnMj7b53zNcmtPID%2FYTA%3 D&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 /> R CF VNI' <br /> I <br /> '34A1,10 ?873 <br /> hV QV <br /> Please make Checks PAYABLE to: 'EHD' heq`TyOF MEA/�UNTy <br /> or gRTMFNT <br /> Pay online at: 'https:l/www.siaov.ora/deoartment/envhealthlfees/online-fee-oaymenY <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 />