Laserfiche WebLink
SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPART -NT <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />DON HOLSWORTH <br />OUT WEST AUTO <br />720 E LODI AVE <br />LODI, CA 95240 <br />Date Health <br />Program Description <br />Invoice # IN0128618 — Date of Invoice : 1/24/2005 <br />1/24/2005 2220 SM HW GEN <5 TONS/YR <br />1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />Page 1 <br />Account ID <br />AR0022800 <br />Facility ID <br />FA0013644 <br />Total for this Invoice <br />Date Printed <br />1/24/2005 <br />2/23/20 <br />RE: OUT WEST AUTO <br />720 E LODI AVE <br />LODI, CA 95240 <br />OWNER: HOLSWORTH, DON <br />Amount <br />IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII <br />VIII IIII IIIIII VIII IIII IIII <br />$ 200.00 <br />$ 24 <br />Total for this Invoice <br />$ 224.00 <br />Payment Due Date <br />2/23/20 <br />224.00 <br />TOTAL DUE this Billing Periodl <br />YMeNT <br />RECeW <br />MAR " <br />7 106 <br />JOPQukI4 Co t'vv <br />SA ENVt�ONp <br />EWPNN- <br />DEp,RTMEN� <br />HEAT N <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 OES / 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 thereafte <br />5255 rpt <br />