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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 ID AR004870 <br /> <br /> <br /> Date Printed 12/29/2021 <br /> LMOMMUMMENNOMMM <br /> BRUNS, KRISTIN RE : HOMESTEAD <br /> HOMESTEAD 20700 S MURPHY RD <br /> 20700 S MURPHY RD RIPON, CA 95366 <br /> RIPON, CA 95366 <br /> OWNER : BRUNS, KRISTIN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0363188---Date of Invoice : 12/29/2021 1111111111111111111 IN 11111111111111 IN <br /> 12/29/2021 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PRO545333 $ 310.00 <br /> Total for this Invoice 1 $ 310.00 <br /> 1 <br /> TOTAL DUE this Billing Period $ 310.00 <br /> Important! Cottage Permits require application with every renewal annually. Please download and out the <br /> form at this link to be turned into EHD in order to receive your permit. <br /> httt)s://www.sigov.org/der)artment/envhealth/forms <br /> R cF�Hr <br /> AV <br /> O <br /> HE LN ONePrl' <br /> M40 <br /> Would you like Invoices electronically or need to update the email address for this account?Fill out the <br /> form below with the information with up to 2 email addresses: <br /> Email 1 <br /> Email 2 <br /> Please make Checks PAYABLE to: 'EHD'or <br /> Pay online at:'https://www.siaov.oro/det)artmenVenvhealttgonline-t)avment' <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 /> _.'.4 irl find of 'j""( <br />