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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 V/ <br /> Phone: (209)468-3420 <br /> Account ID AR0050066 <br /> INVOICE <br /> <br /> <br /> SMOLENSKY, MARIE RE : MARIE'S COOKIES & CONFECTIONS <br /> MARIE'S COOKIES & CONFECTIONS 1479 DUNIGAN PL <br /> 1479 DUNIGAN PL MANTECA, CA 95336 <br /> MANTECA, CA 95336 <br /> OWNER : SMOLENSKY, MARIE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0362300--Date of Invoice: 11/3012021 1111111111111111111111111 IN IIII <br /> 11/30/2021 1608 CLASS A COTTAGE FOOD-DIRECT SALES PRO546468 $ 155.00 <br /> Total for this Invoice $ 155.00 <br /> 1213 2021 <br /> TOTAL DUE this Billing Period $ 155.OI) <br /> Important! Cottage Permits require application with every renewal annually. Please download and out t <br /> form at this link to be turned into EHD in order to receive your permit. <br /> httos:Zlwww.sigov.org/department/envhealth/­forms <br /> PA <br /> RFCE QED <br /> Ev <br /> lyAQU/N <br /> HEALTH pE AR0_4k <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 ad dr ses: <br /> Email1 f71QY/esm0Claa, 6e;+ <br /> `�V�� Email 2 <br /> Please make Checks PAYABLE to: 'EHD'or <br /> Pay online at: 'https://www.siaov.org/denartment/envhea]tWonline-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 Datepp 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254,rpt ���D5�4�v q End of report <br />