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ENVIRONMENTAL HEALTH DEPART11- VT <br /> 304 E WEBER AVE - 3RD FLOOR Page 1 <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account to AR0000380 <br /> Facility ID FA0000381 <br /> lanommmmmmmma <br /> Date Printed 1/24/2005 <br /> NANCY G MACLEOD RE : RITE AID #6000 <br /> RITE AID #6000 520 W LODI AVE <br /> <br /> <br /> OWNER : PAYLESS DRUG STORES INC <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0128500---Date of Invoice: 1/24/2005 IIIIIIIIIIIIIVIIVIIIVIIIVIIIVIIIVIIIIIIIIIIII IIII IIIIII VIIIIIIIIII <br /> 1/24/2005 2222 SILVER WASTE ONLY-<5 TONS/YR $ 50.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24 <br /> Total for this Invoice $ 74.00 <br /> Payment Due Date 2/ 3/ <br /> TOTAL DUE this Billing Period $ 74.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 11 2005 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTNit'_PrT <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/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 /> rpt <br />