Laserfiche WebLink
JAN JlT-qUUIN WILIN I Y <br /> ENS11RONMENTAL HEALTH DEPARTP�NT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR if <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0017146 <br /> Facility ID FA0010146 il <br /> Date Printed L.2/30/2006 <br /> C&S ONE HOUR MARTINIZING RE : C&S ONE HOUR MARTINIZING <br /> 5756 PACIFIC AVE STE#1 5756 PACIFIC AVE STE 1 <br /> STOCKTON, CA 95207 STOCKTON, CA 95207 <br /> OWNER : PATEL, CHANDRAKANT B "CHARLES" <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142945---Date of Invoice: 1/27/2006 11111 11111 11111 11111 IN 111111 11111 IN 1111 <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 255.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 479.00 <br /> Payment Due Date 3%1-216 <br /> TOTAL DUE this Billing Period $ 479. <br /> �E <br /> & <br /> N�OAQU�NENU <br /> TA� <br /> SA ENVIPONpARTMENT <br /> // HEALTH DE <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/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 /> 5254.rpt <br />