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SAN JOAQUIN COUNTY <br /> ENVIF.ONR1FNTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID I AR0050616 <br /> INVOICE <br /> Facility ID FA0026591 <br /> Return This INVOICE with Your PAYMENT <br /> Date Printed 4/27/2023 <br /> THOMAS, AUDREY RE : THE ART OF FOOD <br /> THE ART OF FOOD 8700 WEST LN SPC 279 <br /> 8700 WEST LN SPC 279 STOCKTON, CA 95210 <br /> STOCKTON, CA 95210 <br /> OWNER : THOMAS, AUDREY <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0378321 ---Date of Invoice: 3/7/2023 1111111 EIII III IIIII 11111 11111 11111 11111 11111 11111 11111 11111 1111 111111 11111 1111 1111 <br /> 3/7/2023 1608 A' LASS ACOTTAGE FOOD-DI RECTSALES PRO546919 $ 186.00 <br /> PA' <br /> MEN"yrTotal for this Invoice $ 186.00 <br /> RECEIVE® <br /> MAY 0 3 2023 <br /> Payment Due Date 4/30/2023 <br /> SAN'/OAQUINCOUNTY SECOND NOTICE <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> TOTAL DUE this Billing Period $ 186.00 <br /> ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INVOIC <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 /> h!Ws://www.sigov.org/docs/default-source/environmental-health-documents/food-and-restaurants/cfo-registration 12ermittin <br /> g renewal-form.pdflsfvrsn=d950fb44 5<h!Ws:Hgcc02.safelinks.protection.outlook.com/? <br /> url=https%3A%2F%2Fwww.si2v.org%2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood and resta <br /> urants%2Fcfo-registration-permitting-renewal-form pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7COI%7Cjsalwolke%4Osjg <br /> ov.org%7COdO58e9dfbee4d8f10c308dab2233bdc%7C3cff5075176a400d86Oa5496Oa7c7e51%7C0%7C0%7C63 801816164 <br /> 0113088%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzliLCJBTiI6Ik1 haWwiLCJXVCI <br /> 6MnO%3D%7C30000/o7C%7C%7C&sdata=6tRcKI IC6hxT5tyig04bBY 12lmMj7b53zNcmtPtD%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 /> Fj 4 )g(. DD <br /> Ck- 4 10)� <br /> Please make Checks PAYABLE to: 'EHD' 6vr�_ <br /> or <br /> Pay online at: '!A psa/www.sjgov.org/department/envhenith/fees/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 /> l.rl,t i�L -1(iq t 1 q End of report <br />