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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 AR0050888 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0026708 <br /> Date Printed 8/4/2023 <br /> GOPP, DESIRAE RE : HUNNY PIE SUGAR BUNCH <br /> HUNNY PIE SUGAR BUNCH 10150 MACON DR <br /> 10150 MACON DR STOCKTON, CA 95209 <br /> STOCKTON, CA 95209 <br /> OWNER : GOPP, DESIRAE M <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0381953---Date of Invoice: 6/28/2023 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 6/28/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0547096 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> Payment Due Date 7/30/2023 <br /> SECOND NOTICE <br /> TOTAL DUE this Billin±Perio $ 186.00 <br /> ATTENTION! R CFO PE IT WILLNOTBE RENEWED BY NLY PAYIN CE. Y <br /> NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONE O OUR <br /> CFO PRODUCTS. CFO RENEWAL FORM HERE: <br /> https•//www sLzov orgJdocs/default-source/environmental-health-documents/food-and-restaurants/cfo-registration-permittin <br /> g-renewal-form pdf?sfvrsn=d950fb44 5 <hqps:Hp-cc02.safelinks.protection.outlook.com/? <br /> url=https%3A%2F%2Fwww.si 2ov.org%2Fdocs%2Fdefault-source%2Fenv ironmental-health-documents%2Ffood-and-resta <br /> urants%2Fcfo-registration-permitting-renewal-fonn pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7COI%7Cjsalwolke%40si <br /> ov ory%7COdO58e9dfbee4d8fl Oc308dab2233bdc%o7C3cff5075176a400d86Oa5496Oa7c7e51%7C0%7COo/o7C63801816164 <br /> 0113088%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLiAwMDAiLCJOlioiV2luMzIiLCJBTiI6Ikl haWwiLCJXVCI <br /> 6MnO%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hzT5ty2gO4bBY 12ImMi7b53zNcmtPtD%2FYTA%3 D&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 /> Cu►1�1 .� i � � 32c�'� � �� /^ <br /> Please make Checks PAYABLE to: 'EHD' <br /> or � (b) <br /> Pay online at: 'https://www.sigov.ora/department/envhealth/fees/o -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 /> 5254.rpt End of report <br />