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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 IDAR0049115 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility to LIENEEMEMEMMMEM <br /> FA0025929 <br /> Date Printed 6/9/2021 <br /> <br /> <br /> <br /> <br /> OWNER : PINEDA, RANDOLF <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0349926---Date of Invoice: 3/25/2021 11111111 EIII III IIIII 1111111111111111111111111 EIII IIIII IIIII III[IIIIII IIIII IIII IIII <br /> 3/25/2021 1608 CLASS A COTTAGE FOOD-DIRECT SALES PRO545824 $ 155.00 <br /> Total for this Invoice I $ 155.00 <br /> Payment Due Date 4/30/2021 <br /> ATTENTION PAST DUE! <br /> YOUR HEALTH PERMIT WE WOULD APPRECIATE YOUR <br /> PAYMENT TODAY! <br /> FOR THE CURRENT YEAR <br /> MAY NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS ARE <br /> PAID IN FULL <br /> TOTAL DUE this Billing Period $ 155.00 <br /> Cottage Permits require application with every renewal annually. Please download and fill out the form at this link to be turne . <br /> do reg-permitting renewal form.odf(sigov.org) <br /> 6/7/21 <br /> Cmn{' � Iz (. 51c, 256 <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'htti)s://www.siciov.oro/departmenVenvhealtIVonline-payment' <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 hand of report <br />