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_.._... <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AmounlID AR0035033 <br /> 'y <br /> Fadlity ID FA0019671 <br /> Xl t <br /> Date Pnnted 11/30/2009 <br /> JIM 3 MIKE'S PERFORMANCE AUTO RE : JIM & MIKE'S PERFORMANCE AUTO <br /> 820 S CALIFORNIA ST 820 S AMERICAN ST <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : RUBEN RUBALCAVA <br /> Date Health Amount <br /> program Description <br /> Invoice# IN0194009—Date of invoice: 9/24/2009 111III1111111111IIIII1I1111111111111111111 <br /> 9/24/2009 2244 2009 HAZMAT FEE $ 85.00 <br /> 11/15/2009 9987 Haz Mat Program Penalty Fee $ 8.50 <br /> Total for this invoice $ 93.50 <br /> Payment Due Date 10/24/2009 <br /> TOTAL DUE this Billing Period $ 93.50 <br /> DUE <br /> Delinquent charges <br /> will be forwarded to <br /> COLLECTIONS <br /> in 00 days, <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES/HMMP 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 atter the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />