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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID I AR0052069 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0027138 <br /> Date Printed 4/18/2023 <br /> WUTZKE, JULIE RE : MAMA'S TOUCH SPECIALTY COOKIES <br /> MAMA'S TOUCH SPECIALTY COOKIES 21600 N KENNEFICK RD <br /> 21600 N KENNEFICK RD ACAMPO, CA 95220 <br /> ACAMPO, CA 95220 <br /> OWNER : WUTZKE, JULIE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0378859---Date of Invoice: 3/28/2023 I/IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII 11111 <br /> IIII IIII <br /> 3/28/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0547668 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> Payment Due Date 4130/2023 <br /> TOTAL DUE this Billing Periodl 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 /> https://www.sjgov.org,/docs/default-source/env ironmental-health-documents/food-and-restaurants/cfo-regi stration-perm ittin <br /> g-renewal-form.12df?sfvrsn=d950fb44 5 <https://,gcc02.safelinks.12rotection.outlook.com/? <br /> url=https%3A%2F%2Fwww.s1 og v.org%2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood-and-resta <br /> urants%2Fcfo-registration permitting;-renewal-form.pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7C0I%7Cisalwolke%40sjg <br /> ov.org%7COd058e9dfbee4d8fl Oc308dab2233bdc%7C3cff5075176a400d860a54960a7c7e5 l%7C0%7CO%7C63801816164 <br /> 0113088%7CUnknown%7CTWFpbGZsb3d8eyJWIioiMC4wLiAwMDAiLCJOIjoiV2luMz1iLCJBTiI6Ik1 haWwiLCJXVCI <br /> 6Mn0%3D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tyizgQ4bBY 12ImMj 7b53zNcmtPtD%2FYTA%3 D&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 /> PAYMENT <br /> RECEIVED <br /> �,p� 1 7 2023 <br /> snN ogpU1N COUNTY <br /> Please make Checks PAYABLE to: 'EHD' LTH�EPMPRTMEN <br /> or <br /> Pay online at: 'https://www.sjgov.orct/department/envhealtWfees/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 /> 5254.rpt End of repos <br />