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SAN JOA,C.1thi1V COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> AccountID AR004$794 <br /> INVOICE <br /> Return T his INVOICE with Your PAYMENT Facility to FA0025791 <br /> Date Printed 12/21/2023 <br /> BURFORD, FRANCES RE : VB SHORTBREAD COOKIES <br /> VB SHORTBREAD COOKIES 1267 LLOYD THAYER CIR <br /> 1267 LLOYD THAYER CIR STOCKTON, CA 95206 <br /> STOCKTON, CA 95206 <br /> OWNER : BURFORD, FRANCES <br /> Health <br /> �Jaie Program Descri ion <br /> P` , Amount <br /> Invoice# IN0390792---Date of Invoice : 12/2112023 111111111111111111111111 IN <br /> 12/21/2023 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PRO545414 $ 486.00 <br /> Total for this Invoice 4 <br /> 1/3012024 <br /> TOTAL DUE this Billing Period $ 486. 0 <br /> ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYIN THE I VOI E. YOU <br /> NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF &NE OF YO <br /> CFO PRODUCTS. CFO RENEWAL FORM HERE: <br /> https://www.s, yov.orWdepartnient/envhealth/forms <br /> You can return by mail to our department at the address on the top of your invoice or email completed forms and <br /> confirmation of payment to: jcastaneda y;.ijgov.org<maiIto:jcastaneda61i sjaov.org <br /> PAYMENT <br /> RECEIVED <br /> 'AN 0 5 2024 a-I <br /> SAN JOAQUIN COUNTYCWl d! <br /> ENVIRONMENTAL bl� <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at:'htt s:l www,sigoy.org(department/e nvhealth/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 /> _. i,i End oY report <br />