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SAN JOAQUIN COUNTY <br /> Page , <br /> ENVIRONMENTAL HEALTH DEPARTM--'T <br /> 304 E WEBER AVE -3RD FLOOR �. <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID ARoo,so7a <br /> Facility ID F FA0009078 <br /> LMMEMMMMENOMM <br /> Date Pnnted 1/24/2005 <br /> FREIH'S AUTO REPAIR RE : FREIH'S AUTO REPAIR <br /> 916 BLACK DIAMOND WAY#B 916 BLACK DIAMOND WAY B <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : CURTIS FREIH <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128928--Date of Invoice: 1/2412005 IIIIIIII 111111 III VIII(IIIIIIII VIII VIII IIIIIIIIIIIIIIIIIIII IIIIIIIIII VIII IIIIIIII <br /> 1/24/2005 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 100.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 324.00 <br /> Payment Due Date 2/2312005 <br /> PAYMENT TOTAL DUE this Billing Period $ 324.00 <br /> RECEIVED <br /> FEB 2 5 2005 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMEW <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 /> 5255 rpt <br />