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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 />INVOICE <br />Return This INVOICE with Your PAYMENT <br />Account ID <br />Facility ID <br />Date Printed <br />AR0050501 <br />FA0026533 <br />5/10/2023 <br />CASEY, TERENCE <br />CASEY'S GOT CAKES LLC <br />163 W SANTA CLARA DR <br />MOUNTAIN HOUSE, CA 95391 <br />RE: CASEY'S GOT CAKES LLC <br />163W SANTA CLARA DR <br />MOUNTAIN HOUSE, CA 95391 <br />OWNER: CASEY, TERENCE <br />Date Health <br />Program Description Amount <br />Invoice # IN0377822 --- Date of Invoice : 2/16/2023 <br /> <br />11111111111111111111110101111111111111111111111111111111111111111111111111111111111 <br />2/16/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES <br /> PRO546846 186.00 <br />Total for this Invoice <br />Payment Due Date 3/30/2023 <br />ATTENTION <br />YOUR HEALTH PERMIT <br />FOR THE CURRENT YEAR <br />MAY NOT BE ISSUED UNTIL <br />PAST DUE AMOUNTS ARE <br />PAID IN FULL <br />PAST DUE! <br />WE WOULD APPRECIATE YOUR <br />PAYMENT TODAY! <br /> <br />TOTAL DUE this Billing Period $ 186.00 <br /> <br />ATTENT1 • NI YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INVOICE. YOU <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.sigov.org/docs/default-source/environmental-health-documents/food-and-restaurants/cfo-registration-permittin <br />g-renewal-form.pdf?sfvrsn=d950fb44_5 <https://gcc02.safelinks. protection.outlook.com/? <br />url=https%3A%2F%2Fwww.sjgov.org%2Fdocs%2Fdefault-source%2Fenv ironmental-health-documents%2Ffood-and-resta <br />urants%2Fcfo-registration-permitting-renewal-form.pdf%3Fsfvrsn%3Dd950fb44_5&data=05%7C01%7Cjsalwolke%40sjg <br />ov.org%7C0d058e9dfbee4d8f10c308dab2233bdc%7C3cff5075176a400d860a54960a7c7e51%7C0%7C 0%7C63801816164 <br />0113088%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDA1LCJQIj0iV2IuMzIiLCJBTII6IkIhaWw1 LCJXVCI <br />6Mn0%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tygqQ4bBY12ImMj7b53zNcmtPtD%2FYTA%3D&reserved= <br />0> <br />You can return by mail to our department at the address on the top of your invoice or email completed forms and <br />fo.1 ;01 .# 1 <br />gG 57/3 <br />etlr <br />Hvis-(91619z7 <br />186.00