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wool <br /> SAN JOA(IUIN COUNTY RECEIVED Page <br /> ENVIRON1 RENTAL HEALTH DEPARTMENT �1 <br /> 304 E WEI SER AVE 3RD FLOOR FEB -2 2005 <br /> STOCKTC N, CA 95202 <br /> SAN JOA(�UIIE COUNTY <br /> Phone: (Z 09)468-3420 <br /> OFFICE OF EMERGENCY SERVICES <br /> INVOICE Account 10 AR0026869 <br /> Facility kQ I.FA0015569 <br /> Dare Printed I 1/24/2005 <br /> SALAZAR'S QUALITY TRUCK WORKS RE : SALAZARS QUALITY TRUCK WORKS <br /> 4720 CAYMAN CT 1622 E ALPINE AVE <br /> STOCKTON, CA 93210 STOCKTON, CA 95206-2325 <br /> OWNER : SALAZARS QUALITY TRUCK WORKS <br /> Heelih <br /> -Program Dewiption Amount <br /> Invoice 0 11 209 30276—Date of Invoice: 1/2412006 <br /> 4124/200 2244 2005 HAZMAT FEE PLUS 5 YEARS BACK BILLING 5 1,530.00 <br /> 1/24/200 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE 5 24.00 <br /> Total for tnts kl W- $ 1.554.00 <br /> Payment Due Date 212312006 <br /> TOTAL.DUE this Billing Period $ 1,$54.00 <br /> Please make Checks PAYABLE to, 'EH17' – Return a Copy of Tats STATEMENT with Your PAYMENT <br /> Penalties r III be added to all Parmlt Fees For OES I HM'MP Fees For all SERVICE FEES <br /> at the R da of 100%of the Base Fee Penalties will be added at the Rate of 104: Penalties will be added at the Rate of 10% <br /> 30 I tay5 after the Due Date 45 Days after tate Invoice Date 60 Days after the Involce Bate and each 30 Days thereafter <br /> S?SS m! <br /> 00 9Ftt1d min s8vzv-ivs A60b99k60Z Zg:LT 90OZ/ZA/ZA <br />