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G7/1G/LGG7 11:U4 LU7404UL}p CIVVIRUIVI9GIVIHL IICFlL111 �raor_ ocv cls <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 600 t MAIM STREET <br /> STOCK? N, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE \ AMIDAR0035036 <br /> [��I,�� (� ?( �• Fecrlly(D FAGD19 774 <br /> Ilky" Due,Printed 6/24/2009 <br /> DELTA REMOVAL& DEMOLITION RE : DELTA REMOVAL 8 DEMOLITION <br /> 120 HOOPER ST 120 HOOPER ST <br /> STOCKTON, CA 95203 STOCKTON, CA 95203 <br /> OWNER : DELTA REMOVAL S DEMOLITION <br /> Date Health <br /> Program Description Amount <br /> Invoice M IND189696—Date of Invoice: 5/2612009 INIA�IBfIRMIllogning Noll 11111 <br /> 5126/2009 2244 2009 HAZMAT FEE PLUS 2 YEARS BACK BILLING ���g11N6g1i11E�1E811I1 I�33 Noll -00 <br /> 5/20Y2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24 DO <br /> TOW far this lmolce 3 924.00 <br /> t ` Payment Due Date 612612009r1 TOTAL DUE this Billing Period $ 924.00 <br /> �t F�I4fe, Avg <br /> 6�D fin' Cfq gS20 3 <br /> Please make Checks PAYABLE bo: 'END' - Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For GES r HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base F. Penalties will be added at the Rate of 10% P9aakies wfll be added at the Rate of 10% <br /> 30 Days after the Due Date 46 Days after the Invoice Date 60 Days after the Invoice Data and each 30 Days thereafter <br /> 5254 ml <br />