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JAN JUAQUIN'I:UUN I Y <br /> ENVIRONMENTAL HEALTH DEPARTM • Page 1 <br /> � <br /> 3041=WEBER AVE -3RD FLOOR <br /> STOCKPhone: ON,209 46 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE <br /> Account AR0016638 <br /> Facility ID F FA000963 <br /> LIMMMMMEENNOMMOM <br /> Date Printed 1/30/2006 <br /> DIAMOND TRUCK BODY CO RE : DIAMOND TRUCK BODY CO <br /> 1908 E FREMONT ST 1908 E FREMONT ST <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 <br /> OWNER : TONY TERESI <br /> Date Health <br /> (Program Description Amount <br /> Invoice# IN0142784—Date of Invoice: 1/27/2006 11111/1/ 11111111111111111111111111111 IN <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 315.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Tot al for this Invoice $ 539.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ - - 539.0 <br /> RECE)vED <br /> FEB 2 4 20� , <br /> SAN JOAQUIp;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 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 /> 5254.rpt <br />