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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 AR0050076 <br /> INVOICE <br /> Return This INVOICE with <br /> <br /> NS <br /> BRITTNEY'S COOKIE CREATIONS 21687 MCBRIDE RD <br /> 21687 MCBRIDE RD ESCALON, CA 95320 <br /> ESCALON, CA 95320 <br /> OWNER : MANCILLA, BRITTNEY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0374599---Date of Invoice: 10/14/2022 II I I II I VIIIV VII VII V I V IV I VII V I 111111111111111111111 <br /> 10/14/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PRO546478 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> 11/30/2022 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period $ 186.00 <br /> ATTENTION! F PER NOT Y PA T VO <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* og v.org/docs/default-source/environmental-health-documents/food-and-restaurants/cfo-re2istration-permittin <br /> g-renewal-form.pdf?sfvrsn=d950fb44 5 <https://Lzcc02.safelinks.protection.outlook.com/? <br /> url=https%3 A%2F%2Fwww.sjgov.ore%2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood-and-recta <br /> urants%2Fcfo-registration-permitting-renewal-form.pdf%3Fsfvrsn%3Dd95Ofb44 5&data=05%7C01%7Cjsalwolke%4Osjg <br /> ov.org%7COdO58e9dfbee4d8fl Oc308dab2233bdc%7C3cff5075176a400d86Oa5496Oa7c7e51%7CO%7CO%7C63801816164 <br /> 01 13088%7CUnknown%7CTWFpbGZsb3d8evJWI'oiMC4wLjAwMDAiLCJOIjoiV2luMzliLCJBTil6IklhaWwiLCJXVCI <br /> 6MnO%3D%703000%7C%7C%7C&sdata=6tRcKMC6hxT5ty2gO4bBY 12lmMj7b53zNcmtPtD%2FYTA%3 D&reserved= <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 /> Q 1 � 6 II�zB�2Z <br /> Co f,E iI <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'httos://www.sictov.orcJdet)artmenVenvhealth/fees/online-fee-payment' <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.rpl f ogAU l End of report <br />