Laserfiche WebLink
SAN JOAQUIN, COUNTY <br />ENVIRO`NMENarAL HEALTH DEPARTT Page 1 <br />304 E WEBER AVE - 3RD FLOOR <br />S-FOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE Account ID ARD000186 <br />Facility ID FA0000187 <br />Date Printed 2/27/2003 <br />JR SIMPLOT CO RE: JR SIMPLOT CO <br />P.O. BOX 198 16777 HOWLAND RD <br />LATHROP, CA 95330-0198 LATHROP, CA 95330 <br />OWNER: JR SIMPLOT CO <br />Date Health <br />Program Description Amount <br />Invoice # IN0103202 Date of Invoice: 2/27/2003 <br />2/27/2003 2214 CaIARP FAC STATE SURCHARGE FEE 200.00 <br />2/27/2003 2228 GEN 25<50 TONS PERMIT $ 1,792.00 <br />2/27/2003 2244 2003 HMMP Annual Fee $ 690.00 , <br />2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br />Total for this Invoice $ 2,699,50 <br />Payment Due Date 3129/2003 <br />PAYMENT F TOTAL DUE this Billing Period 2,699.50 <br />RECEIVED <br />?U <br />MAR 110 2003 <br />6AN JOAQUIN COUNTY <br />PUBLIC F'rALTH SERVICES � <br />EWRONMENIAL HEA1D! 01VISION <br />DATE SUBMITTED INVOICE# 11�g103ao� <br />JDE PO # VENDOR#� 3235q$ <br />❑ DISCOUNT ❑ TAX EXEMPT ❑ SPECIAL HANDLING (Attach Sheet) <br />BUS. UNIT OBJECT SUBSIDIARY AMOUNT <br />3 Iao Sero so a}Rq.sa <br />TAL PA <br />APPROVE BY <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 all SERVICE FEES <br />at the Rate of 100% of the Base Fee Penalties will be added at the Rate of 10% <br />. 30 Days after the Due Date 60 Days after the Invoice Date and each 30 Days thereafter <br />5255.Tpt <br />