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SAN J14AQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTP --NT Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0016012 <br /> Facility lD F FA0009012 <br /> LEMMOOMMMMMOMA <br /> Date Printed F 1/24/2005 <br /> PAYLESS AUTO REPAIR INC RE : PAYLESS AUTO REPAIR INC <br /> <br /> LODI, CA 95240 <br /> OWNER : PAYLESS AUTO REPAIR INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128895--Date of Invoice : 1/24/2005 I III I I VIII VII VI IVII VII VI IV I VIIIVII V I I I III IIIIIIIIIIIII <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 85.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice t� 0 <br /> 309.0 <br /> Payment Due Date23/2 <br /> TOTAL DUE this Billing Period $ 309.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 8 2005 <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 /> 52ij.rpt <br />