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_ __ . .. . <br /> r , <br /> SAN JOAQUIN COUNTY Pae 1 <br /> ENVIRONMENTAL HEALTH DEPART NT g <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 / COPY <br /> INVOICE ✓ Account ID AR0017758 <br /> (�( L Facility IDFF—AO-01-0758 <br /> 0 Date Printed 4/30/2012 <br /> AD FORCE PRIVATE SECURITY RE : AD FORCE PRIVATE SECURITY <br /> PO BOX 55331 3108 CHERRYLAND AVE <br /> STOCKTON, CA 95205 STOCKTON, CA 95215 <br /> OWNER : GEORGE GARCIA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0224359---Date of Invoice: 113 012 01 2 II IIIIIIIIIIIVIIIIIIIIVIIIVIIIIIIIIIVIIIVII IIIIIIIIIIIIIIIN <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 85.00 <br /> 1/2712012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/15/2012 9987 Haz Mat Program Penalty Fee $ 8.50 <br /> Total for this Invoice $ 142.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 142.50 <br /> PASS' DUE <br /> Delinquent charges <br /> will he forwarded to <br /> COLLECTOONS <br /> k,, in 30 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 DES I 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 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 />