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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME' ' 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 1/26/2007 <br /> MICKE GROVE GOLF LINKS 11'' `t' RE : MICKE GROVE GOLF LINKS <br /> <br /> LODI, CA 95242 <br /> OWNER : AMERICAN GOLF CORP <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156787---Date of Invoice : 1/25/2007 I IIIIIII IIIIII III VIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIIIII IIIII IIII IIII <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 345.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 575.00 <br /> Payment Due Date 2/25 007 <br /> -,--- <br /> TOTAL DUE this Billing Period 575 0 <br /> PAYMENT <br /> RECEIVED <br /> FEB 14 200-1 <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 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 /> 52>4.rpt <br />