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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (309) 468-3420 <br /> Account ID AR0052069 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0027138 <br /> Date Printed 4/29/2024 <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# IN0392908---Date of Invoice: 4/8/2024 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 4/8/2024 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0547668 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> Payment Due Date 5/30 <br /> TOTAL DUE this Billing Period 186.00 <br /> ATTENTION! R CFO PERMIT WIL NOT BE RENEWED BY ONLY PAYING THE I VOICE. YOU <br /> NEED T COMPLETE AND RETURN THE RENEWAL FRM AND INCLUDE A LABEL F E OF YO <br /> CFO PRODUCTS, CFO RENEWAL FORM HERE: <br /> https://www.sip-ov.orp-/department/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: jcastaneda a sjgov.org<mailto:jcastaneda a,sjgov.org> <br /> PAYMENT <br /> RECEIVED <br /> APR 2 6 2024 <br /> SAN NOAQUIN VIIRONMENOTALTY <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'https://www.siaoy.orQ/deRartmenVenvhealtwfees/online-fee-1ayment' <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 report <br />