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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account lD AR0003072 <br /> INVOICE <br /> Facility ID FA0003495 <br /> Date Printed 9/27/2018 <br /> <br /> <br /> MANTECA, CA 95336 <br /> OWNER : ABF <br /> Date Health <br /> Proaram Description Amount <br /> Invoice# IN0311941 ---Date of Invoice: 9/26/2018 I(IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 9/26/2018 1921 HMBP-Regular-Primary Location $ 347.00 <br /> 9/26/2018 1922 CERS Processing Fee $ 30.00 <br /> 9/26/2018 2220 SM HW GEN<5 TONS/YR $ 249.00 <br /> 9/26/2018 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> Total for this Invoice $ 675.00 <br /> Payment Due Date 10/27/2018 <br /> TOTAL DUE this Billing Period $ 675.00 <br /> LVII <br /> VVV1 \.1. C\� <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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 52�4.rpt <br />