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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTN T Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR 1W <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account lD AR0025793 <br /> Facility ID FA0015065 <br /> LIMMEEMNIMMMMA <br /> Date Printed 12/1/2003 <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 Amrnint <br /> Invoice# IN0114191 ---Date of Invoice: 12/112003 <br /> 12/1/2003 2220 SM HIN GEN<5 TONS/YR $ 200.00 <br /> 12/1/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 217.50 <br /> Payment Due Date 12/31/2003 <br /> TOTAL DUE this Billinq Period $ 217.50 <br /> PAYMENT <br /> RECEIVED <br /> DEC - 5 2003 <br /> SAN JOAOUIN COUNTY <br /> ENVIRONMETAL <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 /> 5255 rpt <br />