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Account ID <br />Facility ID <br />Date Printed <br />AR0047366 I <br />FA0025177 I <br />6/6/2023 <br />SAN 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 />YOUNGBLOOD, STACEY <br />THE WOODEN SPOON BAKED GOODS <br />245 DOUMA WAY <br />RIPON, CA 95366 <br />RE: THE WOODEN SPOON BAKED GOODS <br />245 DOUMA WAY <br />RIPON, CA 95366 <br />OWNER: YOUNGBLOOD, STACEY <br />Date Health <br />Program Description Amount <br />Invoice # IN0377815 --- Date of Invoice: 2/16/2023 <br /> <br />111111111111111111111011111111111111111111010111111111111110111111111 <br />2/16/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES <br /> <br />PRO544291 <br /> <br />186.00 <br />Total for this Invoice <br />Payment Due Date 3/30/2023 <br />ATTENTION PAST DUE! <br />YOUR HEALTH PERMIT Deliquent charges over <br />FOR THE CURRENT YEAR 90 days! <br />MAY NOT BE ISSUED UNTIL <br />PAST DUE AMOUNTS ARE <br />PAID IN FULL <br /> <br />TOTAL DUE this Billing Period 186.00 <br /> <br />ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INV II CE. YO <br />NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONE <br />CFO PRODUCTS. CFO RENEWAL FORM HERE: <br />https://www.sjgov.org/docs/default-source/env ironmental-health-documents/food-and-restaurants/cfo-registration-perm ittin <br />v,-renewal-form.pdf?sfvrsn=d950fb44 5 <https://gcc02.safelinks.protection.outlook.comr? <br />url=https%3A%2F%2 Fwww.sigov.org%2Fdocs%2Fdefault-source%2Fenv ironmental-health-documents%2Ffood-and-resta <br />urants%2Fcfo-registration-perm itting-renewal-form .pdf%3 Fsfvrsn%3 Dd950fb44_5&data=05%7C01%7Cjsalwolke%40sj <br />ov.org%7C0d058e9dfbee4d8fl 0c308dab2233bdc%7C3cf15075176a400d860a54960a7c7e51%7C0%7C0%7C63801816164 <br />0113088%7CUnknown%7CTWFpbGZsb3d8eyJ W joiMC4wLjAwMDAiLCJQIjoiV2IuMzEiLCJBTiI61klhaWwiLCJXVCI <br />6M nO%3 D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tygqQ4bBY121mM j7b53zNcmtPtD%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 />1 % 6703 <br />coo('4t 102.s-195-7 <br />Ro5Lit--12-1 <br />186.00