Laserfiche WebLink
ENVIRONMENTAL HEALTH DEPARTMENTPage 1 <br /> 304 E WEBER AVE -3RD FLOOR �� rlG0jVID <br /> STOCKTON, CA 95202 101 <br /> Phone: (209) 468-3420 APR 2 g 2004 <br /> S�vJUvUlN cuuriTy <br /> INVOICE FCFEMERGENC+(SE3"i.6CEAccount ID AR0025407 <br /> IMMMONIMMMMUMEN <br /> Facility ID FA 00 4-881 <br /> LMEMMOMMMUMMA <br /> Date Printed 4/26/2004 <br /> INNEMMINIMMENNEMMA <br /> INDUSTRIAL DESIGN & FAB RE : INDUSTRIAL DESIGN & FAB <br /> PO BOX 268 802 S SAN JOAQUIN ST <br /> STOCKTON, CA 95201 STOCKTON, CA 95206 <br /> OWNER : LAURIE CORNELL/JERRY HICKS <br /> Dale Health <br /> Program Description <br /> Amount <br /> Invoice# IN0117559—Date of Invoice: 2/4/2004 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 270.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 3/21/2004 9987 Haz Mat Program Penalty Fee $ 27.00 <br /> Total for this Invoice $ 321.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 321.00 <br /> PAST DUE! <br /> WE WOULD APPRECIATE YOUR <br /> PAYMENT TODAY! <br /> DVr <br /> Delinquent charges <br /> will be forwarded to <br /> 4,0 -,FCTION <br /> o clays <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 DES 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 /> 5255.rpt <br />