Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIgONM�NTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE A=unt ID AR0033046 <br /> MONEENNEENFAMMA <br /> Facility IDFA0018664 <br /> Date Printed 2/4/2015 <br /> DAVIS, TERRY RE : EAGLES NEST HARLEY DAVIDSON <br /> EAGLES NEST HARLEY DAVIDSON 13900 S HARLAN RD <br /> <br /> <br /> OWNER : DAVIS, TERRY <br /> Date Health <br /> Program Description <br /> 'Amuunr <br /> Invoice# IN0262919--Date of Invoice: 1/29/2015 I IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII III IIIIII 1111111111111 <br /> 1/29/2015 1920 HMBP-Common Materials $ 100.00 <br /> 1/29/2015 2220 SM HW GEN<5 TONSNR $ 213.00 <br /> 1/29/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 348.00 <br /> Payment Due Date 7/28/2015 <br /> ` TOTAL DUE this Billing Period $ 348.00 <br /> bllS'l nQSS <br /> Toho Rv\dYe�..D Wec. t� <br /> E.0.gle5 ueS+ <br /> X3900 Pd O <br /> La�� �o� r CA `�533p � 140 <br /> LOvo <br /> e <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 1000%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 />