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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0 227629 <br /> INVOICE <br /> Facility ID FA 0-0-15-8—73 <br /> LUMMONNEWAMMON <br /> Date Printed 1/26/2017 <br /> DON KING RE : NUMERI TECH INC <br /> NUMERI TECH INC 124 N E ST <br /> PO BOX 5847 STOCKTON, CA 95205 <br /> STOCKTON, CA 95205-0847 <br /> OWNER : DON KING <br /> Date Health <br /> pmnraw Description Amount <br /> Invoice# IN0288831 ---Date of Invoice: 1126/2017 lllll�lllfllulul VIIIII�IVIIVIIIVIIIIIIIIIIIIIIIIIIVIIIIIIIII <br /> 1/26/2017 1921 HMBP-Regular-Primary Location $ 284.00 <br /> 1/26/2017 1922 CERS Processing Fee $ 25.00 <br /> 1/26/2017 2220 SM HW GEN<5 TONS/YR $ 226.00 <br /> 1/26/2017 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 570.00 <br /> Payment Due Date 2/25/2017 <br /> TOTAL DUE this Billing Period $ 570.00 <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 HMBP 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 /> 52i4.ri t <br />