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SAN JOAQUIN COUNTY <br /> ENVIRONMEA;TAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0050489 <br /> <br /> <br /> Printed 2/24/2022 <br /> ZAPATA, CIERRA RE : B'S SOURDOUGH <br /> B'S SOURDOUGH 17983 ISABELLA PL <br /> 17983 ISABELLA PL LATHROP, CA 95330 <br /> LATHROP, CA 95330 <br /> OWNER : ZAPATA, CIERRA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0364161 --Date of Invoice: 2/24/2022 VIII IIIIVIIVIIVI VIII VIII VIIIVIIIVIVI IIIIIIIIIIIIIIIIIIIIIII <br /> 2/24/2022 1609 CLASS B COTTAGE FOOD-INDIRECT SALES $ 310.00 <br /> Total for this Invoice $ 310.00 <br /> 01202 <br /> TOTAL DUE this Billing Period 310.00 <br /> Important! Cottage Permits require application with every renewal annually. Please download and I ou e <br /> form at this link to be turned into EHD in order to receive your permit. <br /> htt�1s://www.sogov.org/department/envhealth/forms <br /> PAYMENT 2 <br /> RECEIVED _1 '✓� 1 21' f IV <br /> FEB 2 4 2022 14 <br /> 2�l � �?112 )rAOAOU � <br /> ",NIUNTY <br /> U UPI ROTMENI <br /> nl N.111 III 1'NRIMENI <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 /> Email 1 <br /> Email 2 <br /> Please make Checks PAYABLE to: 'EHD'or <br /> Pay online at: 'hftps://www.s!oov.org[del)artmentlenvhealt[Vfees/online-fee-I)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 Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt End ofr t <br />