Laserfiche WebLink
SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> 6640 <br /> INVOICE <br /> Facility ID FA0009640 <br /> Date Printed 9/27/2019 <br /> DAVID WEESE RE : AUTO-INDUSTRIAL PAINT CO <br /> AUTO-INDUSTRIAL PAINT CO 920 S CHEROKEE LN STE H <br /> 920 S CHEROKEE LN #H LODI, CA 95240 <br /> LODI, CA 95240 <br /> OWNER : WEESE, DAVID <br /> D-te Health <br /> Program Description Amount <br /> Invoice# IN0327156---Date of Invoice: 9/26/2019 11111111 111111 III VIII VIII VIII VIII VIII VIII VIII VIII VIII 1111111111 VIII IIII IIII <br /> 9/26/2019 1921 HMBP-Regular-Primary Location $ 313.00 <br /> 9/26/2019 1922 CERS Processing Fee $ 30.00 <br /> 9/26/2019 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> Total for this Invoice $ 392.00 <br /> Payment Due Date 10/27/2019 <br /> TOTAL DUE this Billing Period $ 392.00 <br /> S� <br /> 1 � <br /> oD <br /> Fih,,Ro Cr , ?019 <br /> PERM T*,4' � <br /> 77, <br /> FS <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 HMBP 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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />