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... ... .... <br /> --------- <br /> ----------- <br /> SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone. (209)468-3420 <br /> INVOICE Account ID AR0035752 <br /> Facility ID FA0020057 <br /> Date Printed 1/30/2012 <br /> REYNOSO, MARIO RE : R&S TRANSMISSION <br /> R&S TRANSMISSION 24572 S MACARTHUR <br /> <br /> <br /> OWNER : REYNOSO, MARIO <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0226301 ---Date of Invoice: 113012012 1111111111111 <br /> 1/2712012 2220 SM HW GEN<5 TONSfYR 213.00 <br /> 1127/2012 2244 2012 HAZMAT FEE $ 85.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1J27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> Totalforthislnvoice $ 347.00 <br /> Payment Duo Date 212912012 <br /> TOTAL DUE this Billing Period $ 347,00 <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 OES I 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 Duo Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> S254.rpt <br />