Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH br-PARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209 <br /> <br /> INVOICE <br /> Facility ID FA0009732 <br /> Date Printed 9/27/2019 <br /> TELFER PAVEMENT TECHNOLOGIES RE : TELFER PAVEMENT TECHNOLOGIES, LLC <br /> 8556 WEYAND AVE SACRAMENTO CA 95828 19256 N HWY 99 <br /> SACRAMENTO, CA 95828 ACAMPO, CA 95220 <br /> OWNER : TELFER PAVEMENT TECHNOLOGIES, LLC <br /> Date Health <br /> Program Description Amount <br /> I <br /> Invoice# IN0327205---Date of Invoice: 9/26/2019 11111 11111 11111 11111 IN 111111 11111 1111 1111 <br /> 9/26/2019 1921 HMBP-Regular-Primary Location $ 398.00 <br /> 9/26/2019 1922 CERS Processing Fee $ 30.00 <br /> 9/26/2019 2220 SM HW GEN<5 TONSNR $ 249.00 <br /> 9/26/2019 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> 9/26/2019 APSA APSA SURCHARGE $ 26.00 <br /> Total for this Invoice $ 752.00 <br /> Payment Due Date 10/27/2019 <br /> TOTAL DUE this Billing Period $ 752.00 <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 />