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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Accoun <br /> <br /> 19 <br /> Date Printed 11/27/2019 <br /> LOPEZ, JAIME RE : LOPEZ TRUCK AND TRAILER REPAIR <br /> LOPEZ TRUCK AND TRAILER REPAIR 4300 E MARIPOSA RD <br /> 1937 NEVADA ST STOCKTON, CA 95215 <br /> STOCKTON, CA 95206 <br /> OWNER : LOPEZ, JAIME <br /> Date Health <br /> Program Desc�iPtion <br /> I Ii1V Ulll I <br /> Invoice# IN0330072---Date of Invoice: 9/26/2019 I IIIIIII IIIIII IrIIIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII 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 /> DUE! <br /> DUE this Billing Period $ 392.00 <br /> PAS <br /> D APPRECIATE YOUR <br /> WE WOOL - <br /> PAYMENT TODAY! <br /> 1 <br /> AU01) <br /> O� <br /> 5 C7 <br /> N 4� <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 /> 52 5-t.rpt <br />