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ENVfRUMtNT7L1UT1rlj PARTM ENT <br /> 020z/ <br />Page 1 <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />INVOICE <br />Return This INVOICE with Your PAYMENT <br />Account ID <br />Facility ID <br />Date Printed <br />AR0048794 <br />FA0025791 <br /> <br />12/21/2023 11 <br />BURFORD, FRANCES <br />VB SHORTBREAD COOKIES <br />1267 LLOYD THAYER CIR <br />STOCKTON, CA 95206 <br />RE: VB SHORTBREAD COOKIES <br />1267 LLOYD THAYER CIR <br />STOCKTON, CA 95206 <br />OWNER: BURFORD, FRANCES <br />Date Health <br />Program Description <br />Amount <br /> <br />Invoice # IN0390792 — Date of Invoice : 12/21/2023 <br />12/21/2023 1609 CLASS B COTTAGE FOOD-INDIRECT SALES <br />1 1111111 111111 1111111 11111 1111 11111 11111 1111 11111 11111 111111111 111111 11111 1111 1111 <br />PRO545414 $ 486.00 <br /> <br />Total for this Invoice <br /> <br />486.00 <br /> <br />1/30/2024 <br />TOTAL DUE this Billing Periodi <br /> <br />$ 486.00 <br /> <br />ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INVOICE. YOU <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 />iltips:,•./www.sjgov.orolepartmenCenvIlealth:form, <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: jcastanedajgov.org <mailto:icastanedarii,sjgov.ors> <br />') • —1 • 2 <br />e iNe <br />e'c-N se e r <br />4.;D \LL <br />C c r\ <br />L).k <br />PA.0. ale? <br />cait - <br />etGl2.? • <br />PAYMENT <br />RECEIVED <br />./IN 05 2024 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />Please make Checks PAYABLE to: 'END' <br />Or <br />Pay online at: • igov.oro/departrrpritienvhezfl!'“%esionline-tee-Daymenr <br />Penalties will be added to all Permit Fees <br />at the Rate of 100% of the Base Fee <br />30 Days after the Due Date <br />For HMBP Fees <br />Penalties will be added at the Rate of 10% <br />60 Days after the Invoice Date <br />For all SERVICE FEES <br />Penalties will be added at the Rate of 10% <br />60 Days after the Invoice Date and each 30 Days thereafter <br />5254.rpt <br />End of renon