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Account ID AR0050489 <br />Facility ID FA0026522 <br />Date Printed 2/9/2024 <br />INVOICE <br />Return This INVOICE with Your PAYMENT <br />I <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />Page 1 <br />ZAPATA, CIERRA <br />RE: B'S SOURDOUGH <br />B'S SOURDOUGH <br />17983 ISABELLA PL <br />17983 ISABELLA PL <br />LATHROP, CA 95330 <br />LATHROP, CA 95330 <br />OWNER: ZAPATA, CIERRA <br />Date Health <br />Program Description Amount <br />Invoice # IN0390802 --- Date of Invoice: 12/21/2023 1111111111111111111111111111111111111111111111111111111111111111111 1111111111E <br />12/21/2023 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PRO546827 <br /> <br />486.00 <br /> <br />Total for this Invoice <br /> <br />486.00 <br /> <br />1/30/2024 <br />SECOND NOTICE <br /> <br />TOTAL DUE this Billing Periodll 486.00 <br /> <br />ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INVO\ICE. <br />NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONE OF YOUR <br />CEO PRODUCTS. CFO RENEWAL FORM HERE: <br />littps://www.sjgov.oredepartment/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: jcastanedaasjgov.org <mailto:jcastaneda@sjgov.org> <br />Please make Checks PAYABLE to: 'EHD' <br />or <br />Pay online at: 'httos://www.sioov.oro/deoartmentienvhealth/feesionline-fee-Dayment' <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% <br />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