Laserfiche WebLink
SAN JOAQUIN COUNTY Page. ) <br /> ENVIRONMENTAL HEALTH DEPART? VT <br /> 304 E WEBER AVE - 3RD FLOOR — f <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account AR0016124 <br /> Facility ID F FA0009124 <br /> Date Printed 1/24/2005 <br /> GEWEKE FORD MERCURY JEEP EAGLE RE : 045 GEWEKE <br /> F CHEROKEE E MERCURY JEEP EAGLE <br /> PO BOX 1210 <br /> LN <br /> LODI, CA 95241 LODI, CA 95240 <br /> OWNER : DARYL GEWEKE <br /> Date Health Amount <br /> Program Description <br /> Invoice# IN0128965—Date of Invoice : 1124/2005 111111111111$11111IIIAIIp1IIIA IIIA IIIII IIIII IIIII 11111111111111111111111 <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 forthis Invoice T-654 00 <br /> Payment Due Date 2/2312005 <br /> TOTAL DUE this Billing Period $ 554.0 <br /> PAYMENT <br /> RECEIVED <br /> JAN 3 12005 <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 I 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 /> 52i5 rpt <br />