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bAN JUAUL)IN I:VUN I Y <br />ENVIRONMENTAL HEALTH DEPARTM# Pagel <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone` 1209}•468-3420 COPY <br />INVOICE Account ID I AR0002341 —11 <br />Facility ID FA0002327 <br />Date Printed 1/30/2006 <br /> <br /> <br /> STOCKTON, CA 95204 <br />OWNER: STOCKTON GOLF & COUNTRY CLUB <br />Date Health <br />Program Description Amount <br />Invoice # IN0142768 --• Date of Invoice : 1/27/2006 <br />1/27/2006 2220 SM HW GEN <5 TONS/YR <br />1/27/2006 2244 2006 HAZMAT FEE <br />1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />TOTAL DUE this Billing Period $ 569.00 <br />N� VFD <br />SAN FEB 15 tool <br />NRp U/N COftmrU <br />H rH DEPART t <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 / HUMP 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 />$ <br />200.00 <br />$ <br />345.00 <br />$ <br />24.00 <br />Total for this Invoice <br />$ <br />569.00 <br />Payment Due Date <br />3111 6 <br />TOTAL DUE this Billing Period $ 569.00 <br />N� VFD <br />SAN FEB 15 tool <br />NRp U/N COftmrU <br />H rH DEPART t <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 / HUMP 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 />