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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />Page 1 <br />INVOICE <br />Return This INVOICE with Your PAYMENT <br />Account ID <br />Facility ID <br />Date Printed <br />AR0051941 <br />FA0027109 <br />••k <br />4/12/2023 I <br />MURO, XULEMA RE: WICKED CUTE CAKES <br />WICKED CUTE CAKES <br />18762 E FRONT ST <br />PO BOX 203 LINDEN, CA 95236 <br />LINDEN, CA 95236 <br />OWNER: MURO, XULEMA <br />Date Health <br />Program Description Amount <br />Invoice # IN0378323 --- Date of Invoice: 3/7/2023 <br />3/7/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES <br />111111111111111111111111111111111111111111 1ffi 111N1 II ID! DuD II lID IF <br />PR0547626 $ 186.00 <br />Total for this Invoice <br />Payment Due Date 4/30/2023 <br />186.00 <br />SECOND NOTICE <br /> <br />TOTAL DUE this Billing Period 186.00 <br /> <br />ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INV E_Y U <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.org/docs/default-source/environmental-health-documents/food-a <br />g-renewa1-fonn.pdf7sfyrsn=d950fb44_5 <https://gcc02.safelinks.p <br />url=htips%3A%2F%2Fwww.sjgov.org%2Fdocs%2Fdefault-source%2Fenvironmel <br />urants%2Fcfo-registration-permitting-renewal-fon-n.pdf%3Fsfyrsn%3Dd950fb44 : <br />ov.org%7C0d058e9dfbee4d8f10c308dab2233bdc%7C3cff5075176a400d860a54961 <br />0113088%7CUnknown%7CTWFpbGZsb3d8evJWIjoiMC4wLjAwMDA iLCJOI joi <br />6Mn0%3D%7C3000%7C%7C%7C&sdata=6tRcKMC61-ixT5tyggQ4bBY121mMj7 <br />0> <br />You can return by mail to our department at the address on the top of your in <br />Please make Checks PAYABLE to: 'END' <br />or <br />Pay online at: 'httos://www.siaov.org/denartment/envhealth/feesionline-fee-Dayment <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% <br /> <br />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 />P\ P 18(9 .22 ik <br />cog i" C to 1.) <br />160S 56 453 <br />5254.rpt Find or report