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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMIF T <br /> 304 VIESER AVE -3RD FLOOR <br /> STUCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0016443 <br /> Facility ID FA0009443 <br /> Date Printed F 2/27/2003 <br /> LEEMMONNEENOMMO <br /> AMTEX INC RE : AMTEXINC <br /> 550 CARNEGIE ST 550 CARNEGIE ST <br /> MANTECA,CA 95337 MANTECA, CA 95337 <br /> OWNER : LEAR/HAYASHITELEMPU <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0103460--Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONSfYR $ 200.00 / <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 390-00,/ <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoicel $ 607.50 <br /> Payment Due Date �3129/20�03 <br /> TOTAL DUE this Billing Period $ ,�607.50 �\ <br /> PAYMENT <br /> RECEIVED <br /> OR 19 2003 <br /> PUBUGHEP UH S RNC'S_ N.:. <br /> ENVIRONiA[NTAL 0 ,H ' <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 />