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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH 6EPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0050012 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0026328 <br /> Date Printed 1/17/2023 <br /> ABDUL RAUF, MUNISA RE : SWEET LAYERS v <br /> SWEET LAYERS 18020 BROADWELL ST <br /> 18020 BROADWELL ST LATHROP, CA 95330 <br /> LATHROP, CA 95330 <br /> OWNER : ABDUL RAUF, MUNISA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0374597---Date of Invoice: 10/14/2022 111111111111111111111111 IN <br /> 10/14/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0546449 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> Payment Due Date 11/30/2022 <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 /> TOTAL DUE this Billing Period $ 186.00 <br /> ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INVOICE. <br /> NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONE OF YOUR <br /> CFO PRODUCTS. CFO RENEWAL FORM HERE: <br /> https•//www s,*yov org/docs/default-source/environmental-Health-documents/food-and-restaurants/cfo-registration-12ermittin <br /> g-renewal-form.12dPsfvrsn=d950fb44 5 <https:HyccO2.safelinks.12rotection.outlook.com/? <br /> url=https%3A%2F%2Fwww.si2ov.org%2Fdocs%2 Fdefault-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.org%7COdO5 8e9dfbee4d8fl Oc308dab2233bdc%7C3cff5075176a400d86Oa5496Oa7c7e51%7C0%7CO%7C63 801816164 <br /> 0113088%7CUnknown%7CTWFpbGZsb3d8eyJWljoiMC4wLjAwMDAiLCJQIjoiV2luMzliLCJBTiI6Ik 1 haWwiLCJXVCI <br /> 6Mn0%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5ty2gQ4bBY 12ImMj7b53zNcmtPtD%2FYTA%3 D&reseived= <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 />