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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 AR0050315 <br /> <br /> <br /> ed 2/1/2022 <br /> WAGNER, MELANIE RE : WAGNER'S KOOKIES <br /> WAGNER'S KOOKIES 18189 STEINEGUL RD <br /> 18189 STEINEGUL RD ESCALON, CA 95320 <br /> ESCALON, CA 95320 <br /> OWNER: WAGNER, MELANIE A <br /> Dnte Health <br /> Program Dce'dpliai Amount <br /> Invoice# IN0363674--Date of Invoice: 1128/2022 IIIIIIIIIIIIIVIIVIIVIIVIIVIIVIIIVIIIVIIIVIIIIIIIIIIIIIIIIIIIII <br /> 1/28/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PRO546612 $155.00 <br /> Total for this Invoice $155.00 <br /> Payment Due Date t/2022TOTAL DUE this Billing Period <br /> Important! Cottage Permits require application with every renewal annually. Please download and fill out he <br /> form at this link to be turned into EHD in order to receive your permit. <br /> https://www.sigov.org/department/envhea lth/forms <br /> PAYMENT <br /> RECEIVED <br /> MAR 0 3 2022 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> eo <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 /> Emailt ryie anieaw her mal l ' cl <br /> Email 2 <br /> Please make Checks PAYABLE to: 'EHD'or <br /> Pay online at:'https://www.sigov.org/department/envhealth/online-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 In-voice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt �0 51 l iv LP 12 End ofrepon <br />