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JAIv dUAUUIN UUUN1 Y <br /> ENVIRONMLNTAL HEALTH DEPARTMF Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0017772 <br /> Facility ID F FA0010772 <br /> g7 D Date Printed F 4/20/2005 <br /> Loommmmmmmmmmmim <br /> COPE MFG CO RE : COPE MFG CO <br /> PO DRAWER 2660 20400 N KENNEFICK RD <br /> LODI, CA 95241-2660 ACAMPO, CA 95220 <br /> OWNER : DAN MILLS & MIKE VALDEZ <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0129564---Date of Invoice : 1/24/2005 IIIIII I I I II II IIII IA V I VI I V VIII V II V I IIII II I VIII IIII IIII <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 300.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 3/15/2005 9987 Haz Mat Program Penalty Fee $ 30.00 <br /> Total for this Invoice $ 354.00 <br /> Payment Due Date 212312005 <br /> TOTAL DUE this Billing Period $ 354.00 <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 /> 1255 rpt <br />