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SAN JOAQUIN COUNTY -4,/ Page 1 <br /> E`:VIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOICE Account to AR0017194 <br /> Facility ID FA0010194 <br /> Date Printed 4/29/2013 <br /> VALLEY LUMBER & SUPPLY CO RE : VALLEY LUMBER & SUPPLY CO <br /> PO BOX 6157 1627 S CENTER ST <br /> STOCKTON, CA 95206-0157 STOCKTON, CA 95206 <br /> OWNER : DONALD J GIOTTONINI JR <br /> --Dale Health ------ Amount <br /> Program Description <br /> Invoice 0 IN0236223---Date of Invoice: 2/1/2013 III I I II I V I VIII V I VIII VI I VIII V II VI I VII IIII IIIIII VIII IIII IIII <br /> 2/1/2013 1920 HMBP-Common Materials $ 100.00 <br /> 2/1/2013 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> 4/15/2013 9987 Haz Mat Program Penalty Fee $ 10.00 <br /> Total for this Invoice $ 145.00 <br /> Payment Due Date 31312013 <br /> TOTAL DUE this Billing Period $ 145.00 <br /> V O <br /> P <br /> PAST D U E Mav 1610\3 A�tN <br /> Del(be <br /> wuent ile ded to VWQENMM S01 ES <br /> COLLECTIONS <br /> in 30 days. <br /> l <br /> 9 � <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 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 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />