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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0047019 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0a2:7 <br /> Date Printed 1/17/2024 <br /> SELGA, VANESSA RE : VS CUSTOM CONFECTIONS <br /> VS CUSTOM CONFECTIONS 8351 CRUDEN ST <br /> 8351 CRUDEN ST STOCKTON, CA 95209 <br /> STOCKTON, CA 95209 <br /> OWNER : SELGA, VANESSA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0390606---Date of Invoice: 12/20/2023 IIIIIII IIIIII III 111 <br /> VIII VIII VIII VIII 111111111111111 <br /> IIIVIIIVIIIVIII IIII IIIIII VIII IIII IIII <br /> 12/20/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0544014 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> Payment Due Date 1/30/2024 <br /> TOTAL DUE this Billing Period $ 186.00 <br /> ATTENTION! YOUR CF PERMIT WILL NOT B RENEWED BY ONLY PAYIN THE INV <br /> NEF,D TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONE OF YOUR <br /> CFO PRODUCTS, CFO RENEWAL FORM HERE: <br /> littps://www.s-iizov.or2/department/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: jcastanedana�sjRov.org_<maiIto:jcastaneda�� o� v.or <br /> "J <br /> � <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'httr)s://www.s"ciov.orQ/del2artmenVenvhealttvfees/on line-fee-Day men <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 /> 2 54.rpt End of report <br />