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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME Page 1 <br /> 304 E WEBER AVE -3RD FLOORSTOCK �. <br /> Phone: ON,209 CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0022618 <br /> Facility ID FA0013514 <br /> Date Printed 4/9/2003 <br /> INEMENSEEMMEMMA <br /> KOHLER POWER SYSTEMS -STOCKTO RE : KOHLER POWER SYSTEMS-STOCKTON <br /> 3955 E ARCH RD 3955 E ARCH RD <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : KOHLER POWER SYSTEMS-STOCKTON <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0104073---Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 2/27/2003 2244 PACT TRANSFER RECORD-OES $ 360.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 577.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ 577.50 <br /> RECEIVED <br /> A PR - 9 2003 <br /> PUBL EALTIH SERVUI ES <br /> ENVIRONMENTAL HEALTH DIVISION <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 IDES/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 /> 5255.rpt <br />