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bAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE AccountID AR0036328 <br /> Facility ID F FA0020341 <br /> Date Printed F 1/26/2017 <br /> CODE 3 CLEANERS RE : CODE3CLEANERS <br /> 4527 SOUTH B STREET 1588 E MARCH LN <br /> STOCKTON, CA 95206 STOCKTON, CA 95210 <br /> OWNER : DYNAMIC TEXTILE RESTORATION, INC <br /> Date Health <br /> Program Description <br /> Invoice# IN0289992---Date of Invoice: 1/26/2017 IIIIIIIIIIIIVIIVIIIVIIVIIVIIVIIVIIIIIIIIIIIIII IIIIIIIIIIIIIIII <br /> 1/26/2017 1921 HMBP-Regular-Primary Location $ 284.00 <br /> 1/26/2017 1922 CERS Processing Fee $ 25.00 <br /> 1/26/2017 2220 SM HW GEN<5 TONSNR $ 226.00 <br /> 1/26/2017 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 570.00 <br /> Payment Due Date 2/25/2017 <br /> TOTAL DUE this Billing Period $ 570.00 <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 HMBP Fees For all SERVICE FEES <br /> at the Rate of 100%,of the Base Fee Penalties will be added at the Rate of 100/6 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. pt <br />