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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page t <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0050501 <br /> INVOICE <br /> Return Th <br /> <br /> <br /> CASEY'S GOT CAKES LLC 163 W SANTA CLARA DR <br /> 163 W SANTA CLARA DR MOUNTAIN HOUSE, CA 95391 <br /> MOUNTAIN HOUSE, CA 95391 <br /> OWNER : CASEY, TERENCE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0364298---Date of Invoice: 2/25/2022 IIIIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII III IIIIII VIIIIIIIIIII <br /> 2/25/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0546846 $ 155,00 <br /> Total for this Invoice $ 155.00 <br /> Payment Due Date 313012022 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period $ 155.00 <br /> Important! Cottage Permits require application with every renewal annually. Please download and fill <br /> form at this link to be turned into EHD in order to receive your permit. <br /> https://www.sqgov.org/department/envhealth/forms <br /> I q sjPAYMENT <br /> V RECEIVED <br /> LD I� L APR 0 8 2022 <br /> \yw SAN JOAQUIN COUNTY <br /> h '\ ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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: 'httos://www.sigoy.org/departmentienvhealth/feeslonline-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 100/ 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 />