Laserfiche WebLink
JAN JUAUUIN t:UUN I Y <br /> ENVIRONMENTAL HEALTH DEPARTMWg-0 g ggnF Page 1 <br /> 304 E WEBER AVE -3RD FLOOR FE <br /> STOCKPhone: ON,209 46 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0003144 <br /> Facility ID F FA0003565 <br /> Date Printed 1/30/2006 <br /> UNIVERSAL SWEEPING SERVICES RE : UNIVERSAL SWEEPINGS SERVICES <br /> <br /> STOCKTON, CA 95215 <br /> OWNER : UNIVERSAL SWEEPINGS SERVICES <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0142751 --Date of Invoice : 1/27/2006 III IIIIII IIIIIVII VIIIIIIIIIIII VIIIV I VIII VIII VII IIIIIIIIII VIIIIIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 300.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.0024.00 <br /> Total for this Invoice $ / 52q <br /> Payment Due Date 3/1 <br /> TOTAL DUE thisBilling Period $ 524.00 <br /> PAYMENT <br /> RECEIVED <br /> 14 2006 <br /> QUIN 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 I 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 />