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,AN JIJAUUIN GVUN 1 Y <br /> ENVIRONMENTAL HEALTH DEPARTM • Page 1 <br /> � <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0028828 <br /> Loomommmommmma <br /> Facility ID F FA0016384 <br /> Date Printed F 1/30/2006 <br /> LMMMOMMMOMMUMES <br /> BUTLER, BEN E RE : GUINETTIS BODY SHOP <br /> GUINETTIS BODY SHOP 1624 E ALPINE AVE 1678 <br /> <br /> <br /> OWNER : BUTLER, BEN E <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0144732---Date of Invoice: 1127/2006 IIIIIIIIIIIIIIIIIIIIIIIIIAVIIIVIIIVIIIVIIIVIIIVIII11IIIIN111111111111111RE <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 224.00 <br /> Payment Due Date 311/2006 <br /> TOTAL DUE this Billing Period $ 24.00 <br /> REFI VE <br /> FEB 13 2O;; <br /> SAN JOAtttfryt NTy <br /> COU <br /> ENVIRONM COU <br /> HEALTH NTAL <br /> DEPARTMENT <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 DES I 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 thereafter <br /> 5254.rpt <br />