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SAN ;IOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0036751 <br /> INVOICE <br /> Facility ID FA0020547 <br /> Date Printed 11!30/2017 <br /> DAN WILMOT RE : AMERICAN MESSAGING <br /> <br /> STOCKTON, CA 95204 <br /> OWNER : AMERICAN MESSAGING SERVICES, LLC <br /> Dale Health Amount <br /> Program Description <br /> Invoice# IN0300229---Date ofinvoice: 9126/2017 11111 IN 1111111111111111111111111111111 <br /> 9/26/2017 1920 HMBP-Common Materials $ 98.00 <br /> 9/26/2017 1922 CERS Processing Fee $ 25.00 <br /> 9/26/2017 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> Total for this Invoice $ 172.00 <br /> Payment Due Date <br /> 1012912017 <br /> lNE �J e. Pr^^P5 `�T, OUR TOTAL DUE this Billing Period $ 172.00 <br /> Fiat�ScNT TuL'AYl <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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />