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,ENTAL HEALTH DEPARTMF_ "T <br />,IN STREET <br />,KTON, CA 95202 <br />-)ne: (209) 468-3420 <br />INVOICE <br />BADER DAIRY <br />23628 E MARIPOSA RD <br />ESCALON, CA 95320 <br />Date Health <br />Program Description <br />Invoice # IN0200402 --- Date of Invoice : 2/2/2010 <br />Page 1 <br />Account ID ' AR0002943 <br />Facility ID FA0003366 <br />Date Printed 1 2/2/2010 <br />RE: BADER DAIRY <br />23662 E MARIPOSA RD <br />ESCALON, CA 95320 <br />OWNER: BADER DAIRY <br />2/1/2010 <br />2220 <br />SM HW GEN <5 TONS/YR <br />2/1/2010 <br />2223 <br />AGRICULTURAL HAZ MAT STORAGE FACILITY <br />2/1/2010 <br />2399 <br />UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />2/1/2010 <br />ERSC <br />ELECTRONIC REPORTING SURCHARGE <br />Amount <br />I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIIIVIII <br />VIII VIII IIII <br />$ <br />IIIIII VIII IIII IIII <br />213.00 <br />$ <br />18.00 <br />$ <br />24.00 <br />$ <br />25.00 <br />Total for this Invoice <br />$ <br />280.00 <br />Payment Due Date <br />3/4/2010 <br />TOTAL DUE this Billing Period$ <br />280.00 <br />Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br />-� -• , — auueu io aii vermtt Fees For OES / HMMP Fees <br />at the Rate of 100% of the Base Fee Penalties will be added at the Rate of 10% <br />30 Days after the Due Date For all SERVICE FEES <br />45 Days after the Invoice Date 60 Days after the Invloicce Dall be t <br />�$ rnt e and each 30 Days & <br />