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SAN JUAQUIN GUUN I Y <br /> ENVIRONMENTAL HEALTH DEPARTROT • Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AcccuntID AR0016200 <br /> Facility ID FA0009200 <br /> 14 z9�^yh � Date Printed 5/25/2005 <br /> INLAND FLYING SVC RE : INLAND FLYING SVC <br /> <br /> STOCKTON, CA 95206 <br /> OWNER : CHEERS,WALTER T <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0124460—Date of Invoice: 9127/2004 11111111111111 111 RE1111111111 111111111111111 p111111111111111111111111p111p11111 <br /> 9/15/2004 9996 APPLY DISCOUNT ($ 100.00) <br /> 9/27/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 12/15/2004 9994 PERMIT FEE PENALTY $ 100.00 <br /> I — <br /> To for this Invoice $ 200.00 <br /> PAST DUE <br /> Invoice# IN0129141 —Date of Invoice: 112412005 1MIT 111111111RE11111111111111111p11111111111p1111p111111111p111111p111111 <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 255.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 3/15/2005 9987 Haz Mat Program Penalty Fee $ 25.50 <br /> 4/15/2005 9994 PERMIT FEE PENALTY $ 200.00 <br /> n Total for this Involve $ 704.50 <br /> PASTDU= PAST DUE <br /> TOTAL DUE this Billing Period $ 904.50 <br /> Delinquent charges <br /> will be torwarded to <br /> COLLECTtO"'F ATTENTION <br /> In 30 days. YOUR HEALTH PERMIT FOR <br /> THE CURRENT YEAR <br /> WILL NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS <br /> ARE PAID IN FULL. <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 />