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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTP'—NT Page 1 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 \ <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0016869 <br /> Facility ID FA0009869 <br /> �Oy Date Pnnted 1/242005 <br /> I <br /> HENRIQUES, ED/WAGONER, BRIAN RE : JM EQUIPMENT CO INC <br /> JM EQUIPMENT CO INC 1245 W CHARTER WAY <br /> 1245 W CHARTER WAY STOCKTON, CA 95206 <br /> STOCKTON, CA 95206 <br /> OWNER : HENRIQUES, ED/WAGONER, BRIAN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128123—Date of Invoice: 1/24/2005 IIIIIIIIIIIIIIIIIVIIIVIIIVIIIIIIIIVIIIIIIIIIIIIIVIIIVIIIIIIIIIIIIIIIIIIIIIIIIII <br /> 1/242005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 124/2005 2244 2005 HAZMAT FEE $ 360.00 <br /> 1/242005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> ({ Total for this Invoice $ 584.00 <br /> Payment Due Date 2123/2005 <br /> TOTAL DUE this Billing Period — 584.00 <br /> V Vt vl <br /> S J ( ( � S ,i PAYMENT <br /> ,'F-v RECEIVED <br /> FEB 11 2005 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTf I DEPARTMENT <br /> FEB - 2 2005 <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 110% <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 />