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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HCZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0051131 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT FacilityID FA0026814 <br /> Date Printed 9/15/2022 <br /> <br /> <br /> <br /> <br /> OWNER : KARIM, AZIZA R <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0369178---Date of Invoice: 8/30/2022 VIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIIIIIII IIII <br /> 8/30/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0547237 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> Payment Due Date <br /> TOTAL DUE this Billing Period 186.00 <br /> Important! Cottage Permits require application with every renewal annually. Please download and 1 <br /> form at this link to be turned into EHD in order to receive your permit. <br /> htti)s://www.s'gov.org/department/envhealth/forms <br /> PAYNâ–șENT <br /> RECEIVED <br /> SEP 14 2022 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONML <br /> HEALTH DE ARTMENT <br /> V` Would you like Invoices electronically or need to update the email address for this account?Fill out the <br /> form below with the information with up to 2 email addresses: <br /> Email 1 <br /> Email 2 <br /> Please make Checks PAYABLE to: 'EHD'or <br /> Pay online at: 'hfti)s://www.siqov.orqtdel3artmenVenvhealtlvfeestonline-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 100/6 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 DVZV 51t-72--3-7 find or report <br />