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BILLING
Environmental Health - Public
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EHD Program Facility Records by Street Name
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INDIANA
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541
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1600 - Food Program
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PR0547295
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Entry Properties
Last modified
11/29/2023 6:34:48 PM
Creation date
3/3/2022 8:53:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
RECORD_ID
PR0547295
PE
1608
FACILITY_ID
FA0026866
FACILITY_NAME
THE SWEET LIFE
STREET_NUMBER
541
STREET_NAME
INDIANA
STREET_TYPE
ST
City
WOODBRIDGE
Zip
95258
CURRENT_STATUS
01
SITE_LOCATION
541 INDIANA ST
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br /> ENVIRC';VMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0051325 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0026866 <br /> Date Printed 8/29/2023 <br /> QUINONES,ANNA J RE: THE SWEET LIFE <br /> THE SWEET LIFE 541 INDIANA ST <br /> 541 INDIANA ST WOODBRIDGE, CA 95258 <br /> WOODBRIDGE, CA 95258 <br /> OWNER : QUINONES,ANNA J <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0383227---Date of Invoice: 8/29/2023 11111M 111111 111 11111 11111 11111�1111�1111 11111�1111 11111�1111 1111 111111 11111 1111 IN <br /> 8/29/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0547295 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> 9/30/2023 <br /> TOTAL DUE this Billing Period $ 186.00 <br /> ATTENTION! R CF PERMIT W NOT RENEWED BY L PAYING THE NV YOU <br /> NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONEll, F Y UR <br /> CFO PRODUCTS.CFO RENEWAL FORM HERE: <br /> ligps://www.s ugov.org/docs/default-source/environmental-health-documents/food-and-restaurants/cfo-registration-pen»ittin <br /> 2-renewal-fonn.pdPsfvrsn=d950fb44 5 <https:Hacc02.safelinks.protection.outlook.com/? <br /> url=https%3A%2F%2Fwww.sjgov.org%2Fdocs%2 Fdefault-source%2Fenvironmental-health-documents°/a2Ffood-and-resta <br /> urants0/oHdo-registration-12ermitting-renewal-fomi.pdf%3Fsfvrsn%3 Dd950fb44_5&data=05%7CO I%7Cjsalwolke%40sjg <br /> ov.or20/o7C0d058e9dfbee4d8fl Oc308dab2233bdc%7C3cff 5075176a400d860a54960a7c7e51%7CO%7CO%7C63801816164 <br /> 0113088%7CUnknown%7CTWFpbGZsb3d8eyJWljoiMC4wLjAwM DAiLCJQ joi V2luMzliLCJBTii6Ik 1 haWwi LCJXVCI <br /> 6Mn0%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tyggO4bBY 12ImMi7b53zNcmtPtD%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 /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'https://www.sjgov.org/departmentienvhealtWfees/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 /> 52S4.q)t find ol'report <br />
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