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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTII T Page 1 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account 10 AR0026741 <br /> LUMNIMMENEEMENA <br /> Facility ID FA0015499 <br /> Date Printed 8/16/2005 <br /> tl <br /> V&S MOBILE TRUCK REPAIR RE : V&S MOBILE TRUCK REPAIR <br /> 474 S AURORA ST 474 S AURORA ST <br /> STOCKTON, CA 95203 STOCKTON, CA 95203 <br /> OWNER : VICTOR BEJARANO <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0136208—Date of Invoice: 811612005 IIIIIIIIIIIIIIIIIVIIIVIIItlIIIVIIIVIIIVIIIVIIIVIIIVIIIIIIIIIIItlIIInIIIIIIII <br /> 8/15/2005 9996 APPLY DISCOUNT II II($ II 100.00) <br /> 8/16/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> Total For this Invoice $ 100.00 <br /> Payment Due Date 9/1512005 <br /> TOTAL DUE this Billing Period $ 100.00 <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/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 />