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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> ST,OCKTON, CA 95205 <br /> Phone: (209)4683420 <br /> Account ID AR0051528 <br /> <br /> <br /> 12/12/2022 <br /> SANA, REY RE : FREEZE DRIED GOODIES <br /> FREEZE DRIED GOODIES 1361 PENFIELD CT <br /> 1361 PENFIELD CT MANTECA, CA 95337 <br /> MANTECA, CA 95337 <br /> OWNER : SANA, REY <br /> Date Health <br /> Program Description A-oust <br /> Invoice# IN0376818—Date of Invoice: 12/12/2022 I(IIIIII IIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIIIII IIIII IIII IIII <br /> 12/12/2022 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PRO547400 $ 312.00 <br /> Total for this Invoice $ .00 <br /> 301202 <br /> TOTAL DUE this Billing Period $ 312.00 <br /> ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYINGTHE I VOI <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 /> hgps://www s'gov or2/docs/default-soureclenvironmental-health-documents/food-and-restaurants/cfo-reizistration-permittin <br /> g-renewal-form.pdf7sfvrsn=d950fb44 5<hgps://gec02.safelinks.protection.outlook.com/? <br /> url=hips%3A%2F%2Fwww sjgov.org°/o2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood-and-resta <br /> urants%2Fcfo-registration-permittingrenewal-form.pdf%3Fsfvrsn%3Dd950tb44 5&data=05%7C01%7Cisalwolke%4Osi <br /> ov.org%7COd058e9dtbee4d8f!Oc308dab2233bdc%7C3cff5075176a400d86Oa5496Oa7c7e51%7C0%7C0%7C63801816164 <br /> 0113088%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLiAwMDAiLCJQIioiV2luMzIiLCJBTiI6Ikl haWwiLCJXVCI <br /> 6MnO%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tyRgO4bBY12ImMi7b53zNcmtPtD%2FYTA%3D&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 /> R CE E� <br /> SAN DEC ?? 20ZZ <br /> A <br /> EN-rA <br /> Please make Checks PAYABLE to: 'EHD' HEALTH O PAR M 7. <br /> or <br /> Pay online at: 'httos://www.sigov.org/deoartmenttenvhealttVfees/online-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 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 ?Po l7g00 Ed port <br />