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5AN .IUAUUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF•tT Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 ~ f <br /> Phone: (209) 468-3420 <br /> INVOICE 1nLREMINEEMINNOWNIA <br /> D 2 (E �'i ,,� r Account ID FAR0016869 <br /> Zuni Fadiity ID FA0009869 <br /> o� 1I� FEf� <br /> � u Date Printed F 1/28/2008 <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# IN0170348—Date of Invoice: 1/25/2008 I�IIIIIIIIIIIIIIIIIIIIIIIVIIIIIIIIIIIIIVIIIVIIIVIIIVIIIIIIIIIIIIIIIaIIIIIM <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ A 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 375.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for[his Invoice $ 612.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ ' 612.00 <br /> PAYMENT <br /> RECEIVED / <br /> FEB 13 201�08 970 .,,1 1/ <br /> SAN JOAQUIN CWNTYS�'D' <br /> ENVIRONMENT -_II <br /> HEALTH DEPARTM <br /> Y bA <br /> C <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Pens to all Permit Fees For OES f HMMP Fees For all SERVICE FEES <br /> a a f 1 % f the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10 <br /> s e Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 52i4.rpt <br />