Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM Page 1 <br /> 1868 E HA[ELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0028192 <br /> Facility ID FA0016127 <br /> Date Printed 6/30/2014 <br /> BARNICK, JAMES RE : MCCOY TRUCK TIRE SERVICE CENTE <br /> MCCOY TRUCK TIRE SERVICE CENTE 3726 S HWY 99 <br /> 1407 LONE PALM AVE STOCKTON, CA 95215 <br /> MODESTO, CA 95351 <br /> OWNER : MCCOY TRUCK TIRE SERVICE CENTE <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0254364---Date of Invoice: 6/30/2014 IIII 111111 III VIII VIII VIII VIII VIII VVII VIII VIII 11111111111 IIII IIII <br /> 6/30/2014 1921 HMBP-Regular-Primary Location $ 255.00 <br /> 6/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 290.00 <br /> Payment Due Date 7130/2014 <br /> TOTAL DUE this Billing Period $ 290.00 <br /> Com, <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 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />