Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0017532 <br /> INVOICE <br /> Facility ID FA0010532 <br /> Date Printed 9/27/2018 <br /> DGN-G4GHG6 RE : GIGLI CO INC <br /> GIGLICO INC 12333 S MANTHEY RD BOX C <br /> 1233a--6-M*NT C LATHROP, CA 95330 <br /> L ,} <br /> ( � ' OWNER : G16 T,-0-6N -Joe 6—t' <br /> Date Health <br /> Program Descriotion Amount <br /> Invoice# IN0313038---Date of Invoice: 9/26/2018 11111 IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 9/26/2018 1921 HMBP-Regular-Primary Location $ 449.00 <br /> 9/26/2018 1922 CERS Processing Fee S 30.00 <br /> 9/26/2018 2220 SM HW GEN <5 TONS/YR $ 249.00 <br /> 9/26/2018 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> 9/26/2018 APSA APSA SURCHARGE S 26.00 <br /> Total for this Invoice $ 803.00 <br /> Payment Due Date 10/27/2018 <br /> TOTAL DUE this Billing Period +$ 803.00 <br /> PAYMENT <br /> RECEIVED <br /> OCT 12 2018 <br /> SAN JOAOUIN COUNTY <br /> ENVRONMENTAL <br /> tIEALT tI DEPAR1 MLNI <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 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 /> 5154 rpt <br />