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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTN <br /> JO <br /> 304 E WEBER AVE -3RD FLOOR • ' <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0017146 <br /> Facility ID FA0010146 <br /> Date Printed 1/24/2005 <br /> C&S ONE HOUR MARTINIZING RE : C&S ONE HOUR MARTINIZING <br /> 5756 PACIFIC AVE#1 5756 PACIFIC AVE 1 <br /> STOCKTON, CA 95207 STOCKTON, CA 95207 <br /> OWNER : PATEL, CHARLES <br /> Date Health Amount <br /> Program Description <br /> Invoice# IN0128218—Date of Invoice: 1/24/2005 I(IIIIII IIIIII III VIII VIII IIIII IIIII IIIII IIIII VIII VIII VIII IIII 11111111111 IIII IIII <br /> 1/24/2005 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 255.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 479.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ , 479.00 <br /> I ( f; <br /> PAYMENT <br /> RECEIVED <br /> FEB 3 2005 <br /> SAN JOAOUIN COUNT`/ <br /> ENVIRONM(,JAL <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/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 />