Laserfiche WebLink
04/26/2005 11:10 4640138 ENVIRONMENTAL HEALTH <br /> inn ovn.ava. ......,.. . PAGE 01 <br /> .NVIRONMENTAL HEALTH DEPARTME <br /> 04 E WEBER AVE-3RD FLOOR <br /> :TOCKTON, CA 95202 <br /> 'hone: (209)468-3420 <br /> INVOICE Account ID AR0005186 <br /> Facility ID FAOODI134 <br /> Data Printed 4222005 <br /> TURKMANY,GEORGE RE : TWO RIVERS RV PARK <br /> TWO RIVERS RV PARK 31021 S TWO RIVERS RD <br /> PO BOX 1424 MANTECA,CA 95337-9468 <br /> MANTECA,CA 95336 <br /> OWNER: TURKMANY,GEORGE <br /> Date Health <br /> program Description p1gtl�N qq��111�ItSyyNN���yq1 N�AppmI'o1unpt <br /> nvelcee IN0124033—Date of Invoice: 1026/2004 IIIIII���IAIiIIININI�IIYI�NAp IYG IIN11011i11 MI11A111 <br /> 102512004 2244 117006 HAZMAT FEE 2004 $ 1,275.00 <br /> 12J1512DO4 9987 Haz Mat Program Penalty Fee 3 127.50 <br /> Teta/for this InT.IC&j S 1,402.50 <br /> gI�I�I� PAST DUE <br /> Irwoloea IN0130215--Dateoflrwoke: 1242005 II®iltllllNl�I�II RgI�II�p�I�IIII��II�O�nu <br /> 1/2412005 2244 2005 HAZMAT FEE 3 255.00 <br /> 1/242005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE S 24,DO <br /> 3/1512005 9987 Haz Mat Program Penalty Fee S 25.50 <br /> ToW Ior Nla Imola S 304.50 <br /> Payment Due Date 2232006 <br /> TOTAL DUEthis BlllingPerlod S 1,707.00 <br /> PAST ®UE! <br /> WE WOULD <br /> OPAYMIENT TODAYE YOUR <br /> [lglirlCl}c_rlt ChPrgeS <br /> will be f[-rvitiarded to <br /> COLLECTIONS <br /> in 19 days. <br /> Please make Checks PAYABLE to: 'EMD' – Retum a Copy of This STATEMENT with Your PAYMENT <br /> For DES I HMMP Fera For all SERVICE FEES <br /> Penalties will be Added to all Permit Fees Penalties will be added at r Rate of 1091 <br /> at fhe Rab or 1110eA.of the Bela Fes Panat 45 Dales 1N sftbe atthA lded at the Rate nvolce Date f tOYe 60 Day9 after the Invoice Date and each 30 Drys thereafter <br /> 30 Days after the Due Data Ys <br /> 5255.rpt <br />