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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 AR0050379 <br /> INVOICE <br /> Facility ID FA0026483 <br /> Return This INVOICE with Your PAYMENT <br /> Date Printed 3/27/2023 <br /> COLLINS, BARBARA RE : BELOVED BARB BAKES <br /> BELOVED BARB BAKES 1040 W KETTLEMAN LN #306 <br /> 1040 W KETTLEMAN LN #306 LODI, CA 95240 <br /> LODI, CA 95240 <br /> OWNER : COLLINS, BARBARA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0377818---Date of Invoice: 2/16/2023 11111 11111 1111 111111 11111 Ih 1111 <br /> 2/16/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0546661 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> Payment Due Date 3/30/2023 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Peri d $ 186.00 <br /> ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THEINVO CE. YOU <br /> NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONE O <br /> CFO PRODUCTS. CFO RENEWAL FORM HERE: <br /> https•//www og v orp/docs/default-source/environmental-health-documents/food-and-restatll-ants/cfo-reR-istration-12ermittin <br /> g-renewal-form pdrsfvrsn=d950fb44 5 <htti2s:Hp-ccO2.safeIinks.protection.0Lltlook.com/? <br /> url=https%3A%2F%2Fwww sjgov orjz%2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood-and-resta <br /> urants%2Fcfo-registration-permitting-renewal-form Rdf%3Fsfvrsn%3Dd950fb44 5&data=05%7C0l%7Cisalwolke%40sjs? <br /> ov or2%7COdO58e9dfbee4d8flOc308dab2233bdc%7C3cfI'5075176a400d86Oa5496Oa7c7e51%7C0%7CO%7C63801816164 <br /> 0113088%7CUnknown%7CTWFpbGZsb3d8eyJWIioiMC4wLjAwMDAiLCJOIjoiV2luMzliLCJBTiI6Ik 1 haWwiLCJXVCI <br /> 6MnO%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tyggQ013Y 121mMj7b53zNcmtPtD%2FYTA%3 Q&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 /> 2_3 <br /> (ofi�� S Z 011 �0 3 <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'https://www.sjgov.orQ/department/envheali[Vfees/on e-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 />