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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 FTR0050315 <br /> INVOICE <br /> Return Thi <br /> <br /> 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 /> Date Health <br /> Program Description Amount <br /> Invoice# IN0377315--Date of Invoice: 12/29/2022 IIIIIIIIIIIIVII VVI/VIII VIVIIVIVIIVI/IIIVIII/I /III <br /> 12/2912022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0546612 $ 186.00 <br /> Total for this Invoice $ 166, <br /> 113 023 <br /> TOTAL DUE this Billing Period $ 0 <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 s,] o�g/docs/default-source/environmental-health-documents/food-and-restaurants/cfo-repiistration-perinittin <br /> ¢-renewal-form.pdflsfvrsn=d950fb44 5 <hftps:Hgcc02.safelinks.protectioti.outtook.com/? <br /> url=https%3A%2F%2Fwww si2ov.org%2Fdocs%2Fdefault-source%2Fenvironmental-health-documentsD/o2Ffood-and-resta <br /> urants%2Fcfo-registration-permitting-renewal-form pdfn/o3Fsfvrsn%3Dd950fb44 5&data=05%7C0I%7Cjsalwolke%40sjg <br /> ov on!%7COd058e9dfbee4d8flOc308dab2233bdc%7C3cff5075176a4OOd860a54960a7c7e5l%7CO%7CO%7C63801816164 <br /> 0113088%7CUnknown%7CTWF12bGZsb3d8eyJWljoiMC4wLjAwMDAiLCJQljoiV2luMzliLCJBTi161k1 haWwiLCJXVCI <br /> 6Mn0%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tyRQQ4bBY I 2lmMj7b53zNcmtPtD%2FYTA%3D&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 /> PAYMENT <br /> RECEIVED <br /> FEB 2 3 2023 <br /> SANjoAOUINtoUNTV <br /> ENVIRONMENTAL <br /> NEALTN DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'httos://www.siaov.ora/deoartmenUenvhealth/fees/online-fee-Davment' <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 <br />