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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 AR0048577 <br /> <br /> <br /> 2/2021 <br /> MANESS, MELISSA RE : THE COOKIE NURSE <br /> THE COOKIE NURSE 5155 DOVERTON DR <br /> 5155 DOVERTON DR STOCKTON, CA 95219 <br /> STOCKTON, CA 95219 <br /> OWNER : MANESS, MELISSA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0362295...Date ofInvoice : 11/30/2021 111111111111111111111111 IN IIIII IIIII 111111111111111111111111111111111111 <br /> 11/30/2021 1608 CLASS A COTTAGE FOOD-DIRECT SALES PRO545166 $ 155.00 <br /> Total for this Invoice $ 155.00 <br /> 12130/2021 <br /> TOTAL DUE this Billing Period $ 155.00 <br /> Important! Cottage Permits require application with every renewal annually. Please download and fill out the <br /> form at this link to be turned into EHD in order to receive your permit. <br /> httPs://www.s6gov.org/department/envhealth/forms <br /> RECEIVED <br /> I� 'Z"� Jah p 4 2022 <br /> 'x 6PN lO�a,iH��Ut1�V <br /> ENVBa�L�.1�lYLl. <br /> V` Would you like Invoices electronically or need to update the email address for this account? Fill out the <br /> form below with the information with up to 2 email addresses: <br /> Email 1 <br /> Email 2 <br /> Please make Checks PAYABLE to: 'EHD'or <br /> Pay online at: 'https://www.sjgov.orci/department/envhealth/online-oavment' <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 ���1 {�� �� End ofreport <br />