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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMr--•T Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0017135 <br /> Facility ID FA0010135 <br /> Date Printed 1/30/2006 <br /> MICKE GROVE GOLF LINKS RE : MICKE GROVE GOLF LINKS <br /> <br /> LODI, CA 95242 <br /> OWNER : AMERICAN GOLF CORP <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142937---Date of Invoice: 1/27/2006 IIIIIIIIIII VIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111 <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 345.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 569.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 569.00 <br /> pA NAENT <br /> RECON,ED <br /> MAR 0 2 200 <br /> SAN JOACIUM COUN" <br /> ENVIRONMENTAL <br /> HEALTH pEPARTMEN f <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 /> �254.rpt <br />