Laserfiche WebLink
SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM T <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccounllD AR0022732 <br /> Facility ID FA0013598 <br /> Date Panted F, 2/27/2003 <br /> AMERICAN FIRE SYSTEMS INC RE : AMERICAN FIRE SYSTEMS INC <br /> P.O. BOX 2693 1102 BLACK DIAMOND WAY <br /> LODI, CA 95241 LODI, CA 95240 <br /> OWNER : MOATS, BUDDY <br /> "We Health Amount <br /> F <br /> Invoice# IN0104093—Date of Invoice: 2/27/2003 $ 200.00 <br /> 2127/2003 2220 SM HVV GEN<5 TONS/YR $ 255.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 17.50 <br /> 2/2712003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> Total for this Invoice $ 472.50 <br /> Payment Due Date 3/003 <br /> TOTAL DUE this Billing Period $ 472.50 <br /> i <br /> PAYMENT <br /> RECEIVED <br /> MAR 13 2003 <br /> PUBLICOAQUIN HEEALTH SERVICES <br /> €t1W"MFNTAI If 4TH F'N*IfN7 <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 all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255rpt <br />