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ENVIRONMENTAL HEALTH DEPART . Page 1 <br /> 600 E MAINSTREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 P g �� <br /> ® <br /> INVOICE RECEI FA f Ld t lD AR0003147 <br /> JUL 30 2005acilityID FA0003569 <br /> � 2 <br /> SAN JOAQUIN COU�jnnted 7/28/2009 <br /> OFFICE OF EMERGENCY SERVICES <br /> RICHARD ELLIS RE : CITY OF STOCKTON <br /> CITY OF STOCKTON 400 E MAIN ST <br /> 425 N EL DORADO ST STOCKTON, CA 95202 <br /> STOCKTON, CA 95202 <br /> OWNER : CITY OF STOCKTON <br /> Date pHealth Amount <br /> rogram Description <br /> Invoice# IN0189705--Date of Invoice: 5/26/2009 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1ININ <br /> 5/26/2009 2244 2009 HAZMAT FEE PLUS 2 YEARS BACK BILLING $ 810.00 <br /> 5/26/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 7/15/2009 9987 Haz Mat Program Penalty Fee $ 81.00 <br /> Total for this Invoice $ 915.00 <br /> Payment Due Date 6/26/2009 <br /> TOTAL DUE this Billing Period $ 915.00 <br /> PASS' DUE <br /> Delinquent charges <br /> will be forwarded to <br /> COLLECTIONS <br /> In 30 dans, <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 Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rot <br />