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SAN J(;A(.t UIN GULIN I Y Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMIf • <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0016531 <br /> Facility ID FA0009531 <br /> Date Printed 2/10/2005 <br /> LMNOWWWROMENOMA <br /> UNIVERSAL FOREST PRODUCTS RE : UNIVERSAL FOREST PRODUCTS <br /> 2801 E BELTLINE ST 26200 N NOWELL RD <br /> GRAND RAPIDS, MI 49525 THORNTON, CA 95686 <br /> OWNER : UNIVERSAL FOREST PRODUCTS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128883—Date of Invoice: 1/24/2005 1111111111111111111111111 IN 111111111111111 IN <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 85.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 309.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 309.00 <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 DES/HMMP Fees For all SERVICL 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 /> 5255.rpt <br />