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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTIV—NT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0016828 <br /> Facility ID r FA0009828 <br /> Date Printed 1/24/2005 <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 <br /> Amount <br /> Invoice# IN0128105—Date of Invoice: 112412005 IIIIIIIIIIIIIIII VIII VIII VIIIIIIIIIIIII VIII IIIIIIIIII VIIIIIIIIIIIII 11111 IIII IIII <br /> 1/24/2005 2220 SM HIN GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 300.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoicel $ 524.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ � 524.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 3 2005 <br /> SAN JOAQUIN COUNTY <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 OES 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 />