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SAN JOAQUIN COJNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTII f <br /> 600 E MAIN STREET <br /> STOCKTON, CA 9520 <br /> <br /> <br /> LOMMENNOMMONIS <br /> FacilitylD F FA0014561 <br /> LWMMMNNNENNNNM <br /> Date Printed 2/29/2012 <br /> lanommoommmmms <br /> ROGER AINSWORTH RE : FLIGHT CENTER,THE <br /> FLIGHT CENTER, THE 1950 E SIKORSKY ST <br /> STOCKTON, CA 95206 <br /> PO BOX 30817 <br /> STOCKTON, CA 95213-0817 OWNER : AINSWORTH, ROGER <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0224712...Date of Invoice: 1/30/2012 11111111111111111111 IN IIII <br /> 1/27/2012 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> Total for[his Invoice $ 262.00 <br /> Payment Due Date 2/29/2012 <br /> TOTAL DUE this Billing Periodl $ 262.00 <br /> Ak (fO4t1�l l OF ✓t1 �4Lt t c> <br /> 6�;k ,— (Art ori <br /> Ott <br /> atj Noy/. 7/1� . <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 OES/HMMP 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 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />