Laserfiche WebLink
SAN JOAQUIN COUNTY Page1 <br /> ENVIRONMENTAL HEALTH DEPARTIII <br /> 304 E WEBER AVE -3RD FLOOR COPY <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0016124 <br /> Facility ID FA0009124 <br /> Date Printed 1/30/2006 <br /> GEWEKE FORD MERCURY JEEP EAGLE RE : <br /> GEWEKE FORD 045 S CHEROKEE MERCURY JEEP EAGLE <br /> PO BOX 1210 <br /> LN <br /> LODI, CA 95241 LODI, CA 95240 <br /> OWNER : GEWEKE, DARYL <br /> Date Health Amount <br /> Program Description <br /> invoice# IN0142579—Date of Invoice: 1127/2006 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIVIIVIIIIIIIIIIIIVIIVIII/IIIIIIIII VIII IIIIIII <br /> 1/27/2006 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 330.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 554.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 554.00!' <br /> —r <br /> PAYME <br /> F?Ect�IVSD <br /> FEB 1 3 <br /> SAN JOAOUIN CO <br /> ONIL4FN <br /> TAL <br /> NFA ENVIRDEPARTMENT <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 /> 5254.rpt <br />