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amrq JUTAWU114 4.VU1V 1 r Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMr�"T <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0017108 <br /> Facility ID FA0010108 <br /> Date Printed F-1/26/2007 <br /> FARLEY TRANSPORTATION RE : FARLEY TRANSPORTATION <br /> 1508 CARPENTER RD 2807 S AIRPORT WAY <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : JERRY FARLEY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156775---Date of Invoice: 1/25/2007 11111 11111 VII 11111 11111 11111 11111 11111 1111 111111 11111 IN IN <br /> 1/25/2007 2220 SM HW GEN <5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 115.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 345.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 345.00 <br /> PAYM E i`.Y <br /> RECEIVE[ <br /> FEB 2 0 200% <br /> SAN JOAQUIN COUNTY <br /> ENVIRONME14TAL <br /> HEALTH DEPORTMENT <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 />