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SAN JOAQUIN COUNTY F �LJS�1 -7 \A\4 2 page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0051613 <br /> INVOICE <br /> <br /> <br /> <br /> AY 943 E YORKSHIRE DR <br /> 943 E YORKSHIRE DR STOCKTON,CA 95207 <br /> STOCKTON, CA 95207 <br /> OWNER : VAN STEYN, SILVIA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0376817---Date ofInvoice: 1211212022 IIIIIIIIIVIIIIIIIIVIIIVIVIVIIIVIIVIIIIIIIIIIIIIIIIIIII <br /> 12/12/2022 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PR0547443 $ 312.00 <br /> 1/15/2023 9997 CORRECTION TO A CHARGE PR0547443 ($ 312.00) <br /> 1/30/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> Payment Due Date 1/30/2023 <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 /> littps://www.s�gov.Org/docs/default-source/env ironmental-health-doc wnents/tbocl-anti-restaurants/efo-rep istratioii-perm ittin <br /> 9_-renewal-form.pdf?sfvrsn=d950tb44 5 <httns://<>ccO2.safeiiiiks.protection.outlook.com/? <br /> url=https%3 A%2F%2 Fwww.sj gov.ore%2Fdocs%2Fdefau It-source%2 Fenv ironmental-health-documents%2Ffood-and-rests <br /> urants%2Fcfo-registration-permitting-renewal-form.pdtb/o3Fsfvrsn%3Dd950fb44 5&data=05%7C0I%7C0salwo1ke%40sM <br /> ov org%7COdO58e9dfbee4d8fl Oc3O8dab2233bdc%7Ccff5075176a4OOd86Oa5496Oa7c7e5l%7C0%7CO%7C63801816164 <br /> Ol 130880/o7CUnknow❑%7CTWFpbGZsb3d8eyJ WlioiMC4wL'AwMDAiLCJOIjoiV2]tiMzliLCJBTil6lkl haWwiLCJXVCI <br /> 6MnO%3 D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tyggO4 bBY 121 m M i 7b53zN cmtPtD%2FYTA%3 D&reserved= <br /> 0> <br /> PAY1�{M�dE�f'�NTrc <br /> You can return by mail to our department at the address on the top of your invoice or email cptrdle "D and <br /> y s� 15� 3� z3 � RJJACcNv302023 <br /> / SAN JOAQUIN COUNTY <br /> J/)'O 2 ENVIRONMENTAL <br /> Please make Checks PAYABLE to: 'EHD' HEALTH DEPARTMENT <br /> or <br /> Pay online at: 'httos://www.s gov.ora/departinent/envhealt[Vfees/ontine-fee-i)avment' <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% 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 rcport5 <br />