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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTAONT • <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)466-3420 <br /> INVOICE Account ID AR0016618 <br /> Facility ID F F—AO009618 <br /> Date Printed 1/24/2005 <br /> STEVE GARCIA RE : FOOD EXPRESS INC <br /> WALTER KEENEY 1250 E MADRUGA RD <br /> <br /> <br /> OWNER : WALTER KEENEY <br /> Health <br /> Date Program Description Amounl <br /> Invoice# IN0129234—Date of Invoice: 1/24/2005 VIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 360.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 584.00 <br /> Payment Due Date 5 <br /> TOTAL DUE this Billing Period $ 584.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 14 2405 <br /> SAN JOAQUIN 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 I 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 /> i2i 5.rpt <br />