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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 AR0052702 <br /> INVOICE <br /> Return This INVOICE with Your PAYMENT Facility ID FA0027364 <br /> Date Printed 9/27/2023 <br /> SAY, SARINA S RE : SWEET SAY MAO <br /> SWEET SAY MAO 8212 SAN PABLO WAY <br /> 8212 SAN PABLO WAY STOCKTON, CA 95209 <br /> STOCKTON, CA 95209 <br /> OWNER : SAY, SARINA S <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0383228---Date of Invoice: 8/29/2023 11111 1111 111111 11111 1111 IN <br /> 8/29/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0547984 S 186.00 <br /> Total for this Invoice $ 186.00 <br /> Payment Due Date <br /> TOTAL DUE this Billing Period �$( 186.00 <br /> ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INVOI Y <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 /> littps://www.s,-ov.ora/department/enviiealtli/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: jcastanedaasitrov.orLl <mailto:jcastanedaatsigov.org> <br /> PAYMEW <br /> S� RECEIVE[ <br /> 1 <br /> SEP 2 7 2023 <br /> is IL ^' / SAN JOAQUIN COUNT/ <br /> ENVIRONMENTAL <br /> t1EALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'httos://www.sjgov.orgldepartment/envhealth/fees/onIi ne-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 />