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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 /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0026450 <br /> Date Printed 12/21/2023 <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 /> nptp Health <br /> Program Description Amount <br /> Invoice# IN0390800---Date of Invoice: 12/21/2023 11111111 E111 111 111 11111�1111 11111 11111 11111 11111 1111 11111 1111 I�Hi 11111 IN IN <br /> 12/21/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0546612 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> 1130/2024 <br /> TOTAL DUE this Billing Period $ 186.00 <br /> Lez,ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INVOI <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 /> httl2s://www.sigov.org/del2artment/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&sj og v org<mailto:jcastaneda a.sjgov.org> <br /> PAYMENT <br /> RECEIVED <br /> FEB 0 7 2024 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'https://www.sjgov.orct/deiiartmentlenvhealth/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 /> 52�4.rpt find of rcliort <br />