Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> INVOIC COPY Account ID AR0004282 <br /> �j Facility ID FA0004538 <br /> Date Printed 2/1/2013 <br /> <br /> <br /> MANTECA, CA 95336 <br /> OWNER : KMART CORP <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0235358---Date of Invoice: 2/1/2013 IIIIIIIIIIIIIIIIIVIIIVIIIVIIIVIIIIIIIIIIIIIIIIIIIIIIIVIIIINIIIIIIIIIIIININ <br /> 2/1/2013 1920 HMBP-Common Materials $ 190.00 <br /> 2/1/2013 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 2/1/2013 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 438.00 <br /> Payment Due Date 3/3/2013 <br /> TOTAL DUE this Billing Period $ 438.00 <br /> PA Y4f <br /> REc't-1 1,Er <br /> 1 <br /> R • 9 ?013 <br /> &ax JQ4QuN <br /> H N f'7 L 1 <br /> �.t <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 /> 5254.rpt <br />