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orae.iwnwunv a.vurvt r <br /> ENVIRONMENTAL HEALTH DEPARTMF^IT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR �N <br /> STOCKTON, CA 95202 COPY <br /> INVOICE <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD I AR0016828 <br /> LWOMEMMMMMMMA <br /> Facility ID FA0009828 <br /> Date Printed 1/26/2007 <br /> PISKEL'S AUTO AIR RAD& CELLUL RE : PISKEL'S AUTO AIR RAD& CELLULAR <br /> 264 BUTTON AVE 264 BUTTON AVE <br /> MANTECA, CA 95336-8599 MANTECA, CA 95336 <br /> OWNER : RICHARD D AYRES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156691 --Date of Invoice: 1125/2007 1111111111111111111111 IN gill IIIII oil IN <br /> 1/25/2007 2220 SM HW GEN <5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 300.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 530.00 <br /> Payment Due Date 2/25/2Q07 <br /> TOTAL DUE this Billing Period $ 530.00;' <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 7 ZOO! <br /> SAN 3OAQUIN COUNT( <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 /> 5254.rpt <br />