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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET Y COP <br /> STOCKTON, CA 95202 COPY <br /> INVOICE Account ID AR0037853 <br /> IY <br /> IFacility ID FA0021034 <br /> Date Printed 4/30/2012 <br /> NORTH RIVER MILLWORK RE: NORTH RIVER MILLWORK <br /> PO BOX 5864 735 S SUTTER ST <br /> AUBURN, CA 95604 STOCKTON, CA 95203 <br /> OWNER : WILLIAM HUBER <br /> Date Health <br /> Program Description Amount <br /> Invoice# IND226496--Date of Invoice: 1130/2012 IIII�IIIIIIIIIII�'l� llllull� l'I�IIVIIIII�IIVIIVIIII�IIllI1IIIIlIIIIIII <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 300.00 <br /> 1/27/2012 2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/15/2012 9987 Haz Mal Program Penalty Fee $ 30.00 <br /> Total for this Invoice $ 379.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 379.00 <br /> PAS-10- DUE <br /> Delinquent charges <br /> will be forwarded to <br /> in 30 days. <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/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 /> 5254.rpt <br />