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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E HAZELTON AVENUE STOCKTON, CA 95205 Phone: (209) 468-3420 Page 1 INVOICE Return This INVOICE with Your PAYMENT Account ID Facility ID Date Printed AR0053202 FA0027529 3/21/2024 I POPE, KATRINA RE: KATRINA'S SWEET DREAMS, LLC KATRINA'S SWEET DREAMS, LLC 17242 S WOOD CREEK LN 17242 S WOOD CREEK LN LATHROP, CA 95330 LATHROP, CA 95330 OWNER: POPE, KATRINA R Date Health Program Description Amount Invoice # IN0390818 --- Date of Invoice: 12/21/2023 11110111101110 1110 HEM Kill 01111101111 0111 liD 1111 12/21/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES PR0548246 $ 186.00 Total for this Invoice ATTENTION PAST DUE! YOUR HEALTH PERMIT Deliquent charges over FOR THE CURRENT YEAR 90 days! MAY NOT BE ISSUED UNTIL PAST DUE AMOUNTS ARE PAID IN FULL TOTAL DUE this Billing Period 186.00 1/30/2024 ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE I IC YOU NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONE OF YOUR CFO PRODUCTS. CFO RENEWAL FORM HERE: https://www.sjgov.org/department/envhealth/forms You can return by mail to our department at the address on the top of your invoice or email completed forms and confirmation of payment to: jcastaneda@sjgov.org <rnailto:jcastanedasjgpv.org> Please make Checks PAYABLE to: 'EHD' or Pay online at: 'httos://www.sjgov.orakleoartmentienvhealth/feesionline-fee-Daymentr Penalties will be added to all Permit Fees For HMBP Fees For all SERVICE FEES 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% 30 Days after the Due Date 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter 5254.rpt I nd ot report