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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART-NT <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0003144 <br /> Facility ID FA0003565 <br /> LUMMMENEMEMMMA <br /> Date Printed 1/24/2005 <br /> INEMWAMMENNEWWWWOM <br /> UNIVERSAL SWEEPING SERVICES RE : UNIVERSAL SWEEPINGS SERVICES <br /> <br /> STOCKTON, CA 95215 <br /> OWNER : UNIVERSAL SWEEPINGS SERVICES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0129989—Date of Invoice: 1124/2005 111 I11II I II V I VIII VIII VI I 11111 I 1 VI I VI /III 1111111111111111111 <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 300.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 524.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 524.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 1 .1 200 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> t{EALTH 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 /> i255rpt <br />