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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 AR004 <br /> <br /> <br /> <br /> ILLBERRY, SHELLY RE : SHELLY'S SUGAR SHAK <br /> SHELLY'S SUGAR SHAK 539 E BARRYMORE ST <br /> 539 E BARRYMORE ST STOCKTON, CA 95204-2208 <br /> STOCKTON,CA 95204-2208 <br /> OWNER : BILLBERRY, SHELLY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0376804---Date of Invoice: 12/12/2022 (IIIIII IIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIIIII 1111111111111 <br /> IIIIIIIIIIII <br /> 12/12/2022 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0544073 $ 186.00 <br /> Total for this Invoice $ 186.00 <br /> Payment Due Date 113012023 <br /> ATTENTION PAST DUE! <br /> YOUR HEALTH PERMIT WE WOULD APPRECIATE YOUR <br /> PAYMENT TODAY! <br /> FOR THE CURRENT YEAR <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 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.sj ov.org/does/default-source/environmental-health-documents/food-and-restaurants/cfo-reizistration-permiuin <br /> p--renewal-form.12dPsfvrsn=d950Ib44_5 <https:Hp-cc02.safelinks.protection.outlook.com/? <br /> url=https%3A%2F%2Fwww.sj og v.oriz%2Fdocs%2Fdefault-source%2Fenvironmental-health-documents%2Ffood-and-recta <br /> urants%2Fcfo-registration-permitting-renewal-form.pdf%3Fsfvrsn%3Dd950fb44 5&data=05%7COI%7Cjsalwolke%40so <br /> ov.orR%7C0d058e9dfbee4d8fl Oc3O8dab2233bdc%7C3cff5075 l 76a400d86Oa5496Oa7c7e5l%7CO%7CO%7C63801816164 <br /> O 113088%7CUnknown%7CT W FpbGZsb3 d8evJ W IjoiMC4wLjAwMDAiLCJOI'oi V2luMzIiLCJBTi16lk 1 haWwiLCJX V CI <br /> 6MnO%3 D%7C3000%7C%7C%7C&sdata=6tRcKMC6hxT5tyag04bBY 121 m M i 7b53zN cmtPtD%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 />