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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMFk'T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0020236 <br /> LUMOMENNNOMOMIM <br /> Facility ID F FA 00 223 2— <br /> Date Printed 2/25/2005 <br /> LEEMMOMMOMMEMM <br /> AMERICAN MEDICAL RESPONSE RE : AMERICAN MEDICAL RESPONSE <br /> 7575 SOUTHFRONT RD 247 CHARTER WAY <br /> LIVERMORE, CA 94551 STOCKTON, CA 95206 <br /> OWNER : AMERICAN MEDICAL RESPONSE <br /> I Date Health <br /> Program Description Amount <br /> Invoice# IN0128466—Date of Invoice: 1/2412005 IIIIIIIIIIIIII IIIIIIIIIIIII VIII VIII VII VIII VIII VIII VIII IIII IIIIII VIII IIIIIIII <br /> 1/24/2005 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 330.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 554.00 <br /> Payment Due Date 2/2312005 <br /> TOTAL DUE this Billing Period $ 554.00 <br /> SECOND No III lk <br /> �ECE�Eo <br /> y�R 2 5 2005 <br /> SA NV EkTMPARENT <br /> NELSN DE <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/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.rpl <br />