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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTFfT • Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0009264 <br /> Facility ID F FA0 0067 44 <br /> LOOMMONOMMOOMM <br /> Date Printed 1/24/2005 <br /> INDEPENDENT TRUCKING Ler '!wFir RE : INDEPENDENT TRUCKING <br /> 1145 W CHARTER WAY 1145 W CHARTER WAY <br /> STOCKTON, CA 95206 JAN 2 7 2004 STOCKTON, CA 95206 <br /> OWNER : ALLIED WASTE INDUSTRIES <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0128437--Date of invoice: 1/24/2005 I VIII IIIIIIIIIIIIIIIII VIII VIII VIII VIII VII VIIIIII III I IIII 1111111111111 <br /> 1/24/2005 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 375.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice 599.00 <br /> Payment Due Date 2/23/ <br /> TOTAL DUE this Billing Period $ 599.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 14 ZD05 <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 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 /> 5255.rpt <br />