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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 AR0050489 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0026522 <br /> Date Printed 2/9/2024 <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# IN0390802---Date of Invoice: 1212112023 1111111 E111 h 111111�111E111111� 11111E 1111111111111111111111111111 IN <br /> 12/21/2023 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PR0546827 $ 486.00 <br /> Total for this Invoice $ 486.00 <br /> 1/30/2024 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period $ 486.00 <br /> ATTENTION! YOUR CFO PERMIT WILLNOTBE RENEWED BY ONLY PAYING THE IN <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.sjgov.org/department/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: icastaneda@sieov.org<maiIto:icastaneda@siQov.org <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'httos://www.sjgov.org/del2artmenVenvhealtivfees/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 54.rpt End of report <br />