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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM- 'T Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID FAR0025793 <br /> Facility ID F FA0015065 <br /> Date Printed F 1/30/2006 <br /> LONEENOMMOMMONOM <br /> TOM NEWHALL RE : TOM NEWHALL BOAT REPAIR <br /> TOM NEWHALL BOAT REPAIR 8090 N RIO BLANCO RD <br /> <br /> <br /> OWNER : NEWHALL, TOM <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0144500---Date of Invoice : 1/27/2006 IIIIIIIIIIIIII III IIIIIIIII VIIVIIVIIVIIVIIVIIIVIIIIIIIIIVIIIIIIIII <br /> 1/27/2006 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 224.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 224.00 <br /> RECD��T <br /> ZZ:p <br /> FEB 2 - <br /> SgN✓og 1 2006 <br /> FND�R/ r <br /> QCTH '1'4 <br /> R M V/VT <br /> EM' <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 /> :'3i rpt <br />