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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR004 <br /> <br /> <br /> 025690 <br /> Date Printed 111712023 <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# IN0376806---Date of Invoice: 12/12/2022 III IIIIII IIVIIVIVIIVIV VIVI VIIVIIII IIIIII 111111111111 <br /> 12/12/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0545166 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> Payment Due Date 1/30/2023 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period $ 1DOO: <br /> ATTENTION! YOUR F PERMIT WILL NOT BE RENEWED B P I THE I ICE, <br /> NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONE OUR <br /> CFO PRODUCTS, CFO RENEWAL FORM HERE: <br /> https-//www s,maov orp-/does/default-source/environmental-health-documents/food-and-restaurants/cfo-registration-12ermittin <br /> 2-renewal-form.pdf?sfvrsn=d950fb44 5 <https:Hpcc02.safelinks.protection.outlook.com/? <br /> url=https%3A"/u2F%2Fwww.sj o�gn/o2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood-and-resta <br /> urants%2Fcfo-registration-permitting-renewal-form.pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7C01%7Cjsalwolke%40si <br /> ov.orp%7COd058e9dfbee4d8flOc308dab2233bdc%7C3cff5075176a400d860a54960a7c7e5l%7C0%7CO%7C63801816164 <br /> 01 l 3088%7CU nknown%7CT W FpbGZsb3 d8eyJ W IjoiMC4wL*AwMDAiLCJOIjo i V2luMzliLCJBTil6lk 1 ha W w i LCJXV CI <br /> 6Mn0%3 D%7C3000%7C%7C%7C&sdata=6tRc KMC6hxT5tyggO4bBY 12ImMj 7b53zNcmtPtD%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 /> Pglld # f S6 011/a3 <br /> cox -ff L <br /> Please make Checks PAY BLE to: 'EHD <br /> or <br /> Pay online at: 'https://www.sjgov.orcUdepartment/envhealth/fees/online-fee-Dayment' <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 />