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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STO;;KTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0051528 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0026W <br /> Date Printed 1/3/2024 <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 Amount <br /> Invoice# IN0390624---Date of Invoice: 12/20/2023 111111111111111111111111IEI111 EII IIIII IIIII IIIII IUI111111111111111111 <br /> 12/20/2023 1609 CLASS B COTTAGE FOOD-INDIRECT SALES PR0547400 S 486.00 <br /> Total for this Invoice $ 486.00 <br /> Payment Due Date 1/30/2024 <br /> TOTAL DUE this Billing Period 486.00 <br /> ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INVO Oyu <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.sipov.or2/del2artment/envhealth/forms <br /> You can return by mail to our department at the address on the top of your invoice or email completed forms and <br /> confirmation of payment to: icastaneda@sjgov.org<mailto:icastaneda a.sj og v org> <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'hips://www.sjgov.orc/department/envhealtwfees/online-fee-[2ayment' <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 /> 254.rpt End of report <br />