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SAN JOAQUIN COUNTY PQge 1 <br /> ENVIRONMENTAL HEALTH DEP RTWLiv r ` <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Acwunt ll) <br /> <br /> <br /> COUNTS PAY B RE : SUSD STAGG HIGH SCHOOL <br /> SUS G H SCHOOL 1621 BROOKSIDE RD <br /> 701 N T STOCKTON, CA 95207 <br /> TON, CA $ 4.68-7 <br /> OWNER : STOCKTON UNIFIED SCHOOL DIST <br /> DatE Health Amount <br /> Pro <br /> 1111111N11�11111111111111i1 U1IN1111 <br /> 2/1/2010 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 8 300.00 <br /> 2/1/2010 2244 2010 HA MAT FEE 24.00 <br /> 211/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE 5 25.00 <br /> 2/1/2010 ERSC ELECTRi NIC REPORTING SURCHARGE <br /> TatAl for this Invoice $ 562.00 <br /> Payment Due Date 3/4/20-10 <br /> Stockton Uni�ied School District —� <br /> Facilities Pla, ning Department TOTAL DUE this Billing Period $ 562.00 <br /> 1944 N. EI Pinal Drive <br /> Stocktoh, CA 95205 <br /> PAYMIENZ. <br /> RECEIVED <br /> APR v 7 2010 <br /> E}IDMERTP.L <br /> PAY, <br /> HEALTH <br /> T}i DEPARTNERT <br /> az <br /> Please make Checks AYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penaltles will be added to all Permit Fc�s For OES 1 HMMP Fees For all SERVICE FEES <br /> at the Rate of 1000/.of the Rase 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 pate 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />