Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART&T . Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0 1172 33 <br /> LMMUMMMOMMENN <br /> Facility ID FA0010 773 <br /> LMOMMMMENEMMEIM <br /> Date Printed 1/24/2005 <br /> COSTCO WHOLESALE -MEATS#210 RE : COSTCO WHOLESALE - MEATS#210 <br /> <br /> TRACY, CA 95376 <br /> OWNER : COSTCO WHOLESALE CORP <br /> Date Health <br /> Prooram Description Amount <br /> Invoice# IN0128263--Date of Invoice : 1/24/2005 III IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII 111111111111 <br /> 1/24/2005 2214 CalARP FAC STATE SURCHARGE FEE $ 270.00 <br /> 1/24/2005 2220 SM HW GEN <5 TONSNR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE - $ 525.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoicel $ 1,019.00 <br /> Payment Due Date 2/2312005 <br /> TOTAL DUE this Billing Period $ j1,019.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 11 200 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <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 DES/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 /> 52.)i rpt <br />