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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 AR0051131 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0026814 <br /> Date Printed 8/31/2023 <br /> KARIM,AZIZA R RE : Z BAKES <br /> Z BAKES 546 SCHAFFER DR <br /> 546 SCHAFFER DR LODI, CA 95240 <br /> LODI, CA 95240 <br /> OWNER : KARIM, AZIZA R <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0382722---Date of Invoice : 7/26/2023 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 7/26/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0547237 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> Payment Due Date 8/30/2023 <br /> SECOND NOTICE <br /> TOTAL DUE this Billing Period $ 186.00 <br /> ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INVOICE. YOU <br /> NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONE OF YOUR <br /> CFO PRODUCTS. CFO RENEWAL FORM HERE: <br /> https://www.sJgov.orgJdocs/default-source/environmental-health-documents/food-and-restaurants/cfo-registration-permitting <br /> -renewal-form.12dVsfvrsn=d950fib44_5 <https://gcc02.safelinks.protection.outlook.com/? <br /> url=https%3A%2F%2Fwww.s'i p-ov.org%2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood-and-resta <br /> urants%2Fcfo-registration-permitting-renewal-form.pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7C0I%7Cjsalwolke%40sjgo <br /> v.org%7COd058e9dfbee4d8n Oc308dab2233bdc%7C3cff5075176a400d860a54960a7c7e5 I%7C0%7C0%7C638018161640 <br /> 113088%7CUnknown%7CTWFpbGZsb3d8eyJWljoiMC4wLiAwMDAiLCJOIioiV2luMzliLCJBTil61kl haWwiLCJXVCI6 <br /> Mn0%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tygg44bBY 121mMi7b53zNcmtPtD%2FYTA%3 D&reserved=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 /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'https://www.siaov.orci/der)artmentienvhealth/fees/online-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.ml End of report <br />