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OAA JUA41UIn 1,UUn I r Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMc`"lT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0016240 <br /> Facility ID FA0009240 <br /> Date Pnnted F 1/30/2006 <br /> PATEL, DIMPLE & HINA RE : ELITE CLEANERS <br /> ELITE CLEANERS 3201 W BENJAMIN HOLT DR STE 119 <br /> 3201 W BENJAMIN HOLT DR#119 STOCKTON, CA 95219 <br /> STOCKTON, CA 95219 <br /> OWNER : PATEL, DIMPLE & HINA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142625—Date of Invoice: 1127/2006 IIIIIIIIIIIIIIIIIIII VIIIIIIIIIIIII VIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIII VIIIIIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 255.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 479.00 <br /> Payment Due Date 311/2006 <br /> TOTAL DUE this Billing Period $ -'479.00 <br /> PAY <br /> NT <br /> FRECE�VED <br /> FEB 0 8 2006 <br /> SAN JOAQUIN COU <br /> ENVIRONMENT NTY <br /> HEALTH DEPgRTM <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 />