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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0033010 <br /> INVOICE <br /> Facility ID 7A0018645 <br /> Date Printed 11/30/2017 <br /> BULK WAREHOUSE SERVICES COMPANY RE : BULK WAREHOUSE SERVICES COMPANY <br /> TAM WILSON 413 W LUCE ST <br /> <br /> <br /> OWNER : BULK WAREHOUSE SERVICES COMPANY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0299901 ---Date of Invoice: 9126/2017 IIII IIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII II VIII II III <br /> 9/26/2017 1921 HMBP-Regular-Primary Location $ 313.00 <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[his Invoice $ 387.00 <br /> Payment Due Date 1 012 912 01 7 <br /> P .OTi D� y EF 1 <br /> d.„1 •^ TOTAL DUE this Billing Period $ 387.00 <br /> 1 ail ii:NT Tli <br /> Please make Checks PAYABLE to: -El — 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 />