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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (2 <br /> Account ID AR0017296 <br /> INVOICE <br /> Facility ID FA0010296 <br /> Date Printed 9/27/2019 <br /> H EHLERS &SONS INC RE : H EHLERS & SONS INC <br /> 9009 W HWY 12 9009 W HWY 12 <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : E H EHLERS & SONS INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0327433---Date of Invoice: 9/26/2019 1111111111111 E 11111 11111 11111 11E 11111 11111 111 11111 11111 111 111111 11111 IN IN <br /> 9/26/2019 1922 CERS Processing Fee $ 30.00 <br /> 9/26/2019 1958 HM-Farm Operations $ 22.00 <br /> 9/26/2019 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> Total forthis Invoice $ 101.00 <br /> Payment Due Date 10/27/2019 <br /> TOTAL DUE this Billing Period $ 101.00 <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 />