Laserfiche WebLink
SAN,' JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />18C•8 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />INVOICE <br />HAROLD SANTOS <br />19788 E HWY 120 <br />ESCALON, CA 95320 <br />Page 1 <br />Account ID AR0030218 <br />Facility ID FA0017336 ' <br />Date Printed1/I 26/2017 <br />RE: HAROLD SANTOS <br />19788 E HWY 120 <br />ESCALON, CA 95320 <br />OWNER: HAROLD SANTOS <br />Date Health <br />Program Description <br />Amount <br />Invoice # IN0289387 --- Date of Invoice :1/26/2017 111111 11111 <br />H 1111 1111 �111 11111 �1111 �111� 11111 �Hi 1111 <br />1111� 1111� IN 1111 <br />1/26/2017 1922 CERS Processing Fee <br />$ <br />25.00 <br />1/26/2017 1958 HM -Farm Operations <br />$ <br />2000. <br />1/26/2017 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />$ <br />35.00 <br />Total for this Invoice $ 80.00 <br />Payment Due Date 2/25/2017 <br />TOTAL DUE this Billing Period $ 80.00 <br />0. <br />0-0 / '�e — <br /> <br /> <br />ENVIRONMENTAL HEALTH <br />PERMIPSERVICES <br />Please make Checks PAYABLE to: 'EHD' - Return a Copy of This STATEMENT with Your PAYMENT <br />'enalties 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 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafte <br />5254 rill <br />