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SAN JOAQUIN COUNTY ..i Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Amount ID 7R0035514 <br /> Facility ID F FA0019935 <br /> Date Printed F 2/29/2012 <br /> GREEN HORIZON RE : GREEN HORIZON <br /> 611 GILMORE ST 611 GILMORE AVE STE <br /> STOCKTON, CA 95201 STOCKTON, CA 95201 <br /> OWNER : GREEN HORIZON <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0226231 ---Date of Invoice: 1/30/2012 II I I I II III III' I IVIII II �IIII VIII VIII IIIIII III II IIII 1111111111111 <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 270.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> Total for this Invoice $ 319.00 <br /> Payment Due Date 2129/2012 <br /> TOTAL DUE this Billing Period $ 319.00 <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/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 />