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iAN JOAQUIN COUNTY Page 1 <br /> NVIRONMENTAL HEALTH DEPARTMEN-- <br /> i00 E MAIN STREET <br /> 3TOCTON, CA 95202 <br /> 'hone: (2209)468-3420 RECEI . D COPY <br /> gg �ryy n <br /> INVOICE NOV d'L'�IJ9 Account ID AR0017023 <br /> SAN JOAQUf N COUNTY Facility Ia FA0010023 <br /> OFFICE OF EMERGENCY SERVICES <br /> Date Printed 10122!2009 <br /> JEFF ROGERS TRUCKING RE : JEFF ROGERS TRUCKING <br /> PO BOX 30698 3526 MUNFORD AVE <br /> STOCKTON, CA 952-15 STOCKTON, CA' 95215 <br /> OWNER : ROGERS, EARL JEFFREY(SR) <br /> Date Health <br /> Program Description Amount <br /> nvoice# IN0193997-_-Date of Invoice: 9/24/2008 I IIIIIII IIfIl III lIIII IIiH I�III II�IIl!illi lull lull lull lull ll�il llll llllll hill llll lfll <br /> 9!24/2009 2244 2009 HAZMAT FEE PLUS 4 YEARS BACK BILLING $ 1,275.00 <br /> F77777ToI: <br /> tal for this Invoice $ 1,275.00 <br /> Payment Due Date 10124/2009 <br /> 3 <br /> r TOTAL DUE this Billing Period $ 1,275.00 <br /> Please make Checks PAYABLE to: 'EFID' 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 late 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.rpt — -- <br /> i <br />