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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0052733 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT FaaI4ID FA0027378 <br /> Date Printed 3/26/2024 <br /> CHAVES,ANGELICA RE : CHAVINA'S <br /> CHAVINA'S 231 FOREST HILLS DR <br /> 231 FOREST HILLS DR TRACY, CA 95376 <br /> TRACY, CA 95376 <br /> OWNER : CHAVES,ANGELICA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0383229---Date of Invoice: 8/29/2023 IIIIIII IIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIIIII IIIII IIII IIII <br /> 8/29/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0548000 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> Payment Due Date 9/30/2023 <br /> ATTENTION PAST DUE! <br /> YOUR HEALTH PERMIT Deliquent charges over <br /> FOR THE CURRENT YEAR 90 days! <br /> MAY NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS ARE <br /> PAID IN FULL <br /> TOTAL DUE this Billing Period $ 186.00 <br /> ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INV 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.sigov.org/der)artment/envhealtli/forms <br /> You can return by mail to our department at the address on the top ofyour invoice or email completed f s 8bd <br /> confirmation of payment to: icastaneda c s' ov.or <mailto:'castaneda s' ov. r > <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'https•//www saaov ora/department/envhealttvfeestonline-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 report <br />