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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 />AccountlD <br />INVOICE <br />Return This INVOICE with Your PAYMENT Facility ID <br />Date Printed <br /> <br /> <br /> <br /> <br />OWNER: TIRAPELLE, NICOLE <br />Page 1 <br />AR0049259 <br />FA0026001 <br />6/1 /2021 <br />Date Health <br />Program Description Amount <br />Invoice # IN0352292 --- Date of Invoice : 4/22/2021 <br />4/22/2021 1608 CLASS A COTTAGE FOOD -DIRECT SALES <br />SECOND NOTICE <br />PR0545991 <br />$ 155.00 <br />Total for this Invoice I <br />$ 155.00 <br />Payment Due Date <br />5/3012021 <br />TOTAL DUE this Billing Period) <br />Cottage Permits require application with every renewal annually. Please download and fill out the form at this link to <br />cfo reg -permitting renewal forri (sigov.org) <br />'26OW`97 <br />Please make Checks PAYABLE to: 'EHD' <br />or <br />Pay online at: <br />$ 155.00 <br />into <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 P ��'r-4s'l6� � Fnd of report <br />