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EHD Program Facility Records by Street Name
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KETTLEMAN
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1040
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1600 - Food Program
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PR0546661
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BILLING
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Entry Properties
Last modified
6/5/2024 11:08:38 AM
Creation date
10/7/2021 3:57:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0546661
PE
1608
FACILITY_ID
FA0026483
FACILITY_NAME
BELOVED BARB BAKES
STREET_NUMBER
1040
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
1040 W KETTLEMAN LN #306
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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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 /> Return This INVOICE with Your PAYMENT Facility ID 41.FA0026483 <br /> Date Printed 2/9/2024 <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# IN0391600---Date of Invoice: 2/9/2024 I IIIIIII IIIIII III VIII II II VIII VIII IIII IIIIII VIII IIII IIII <br /> 2/9/2024 1608 CLASS A COTTAGE FOOD-DI RECT SALES PR0546661 S 186.00 <br /> snvoice $ 1 00 <br /> 3/30/20 <br /> TOTAL DUE this Billing Period $ 186.00 <br /> ATTENTION! YOUR CFO PERMIT WILL NOT BE RENENVED Bi' ONLi' PAi'ING THE INVOICE. i"OU <br /> NEED TO COMPLETE AND RETt'RN THE RENEWAL FORM AND INCLUDE A LABEL OF ONE OF YOUR <br /> CFO PRODL-CTS. CFO RENTNIAL FORii HERE: <br /> You can return by mail to our department at the address on the top of your invoice or email completed forms and <br /> ConTlrrnatton of payment to: <br /> PAYMENT <br /> RECEIVED <br /> APR 15 2024 <br /> SAN JOAQUIN COUNTY <br /> t ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: ' <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 />
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