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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA' 95205 <br />Phone: (209) 468-3420 <br />Page 1 <br />INVOICE <br />Return This INVOICE with Your PAYMENT <br />Account ID <br />Facility ID <br />Date Printed <br />AR0048703 <br />FA0025759 <br />12/21/2023 II <br />BRUNS, KRISTIN <br /> <br />RE: HOMESTEAD <br />HOMESTEAD <br />20700 S MURPHY RD <br />20700 S MURPHY RD <br />RIPON, CA 95366 <br />RIPON, CA 95366 <br />OWNER: BRUNS, KRISTIN <br />Date Health <br />Program Description Amount <br />Invoice # IN0390789 --- Date of Invoice : 12/21/2023 <br /> <br />11111111111 1111111111111111111111111111111111111111111111 11111111111111111111 111 <br />12/21/2023 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PR0545333 S <br /> <br />486.00 <br /> <br />Total for this Invoice] 486.00 <br /> <br />1/30/2024 <br /> <br />TOTAL DUE this Billing Period <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 />https://www.sjgov.org/department/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 (CiSjgov.org <mailto:jcastaneda€,ustov.org> <br />PAYMENT <br />RECEIVED <br />JAN 1 8 2024 <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />Please make Checks PAYABLE to: 'END' <br />Or <br />Pay online at: 'httas://www.kigov.org/department/envhealth/fees/online-fee-nayment' <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 End of report