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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMF <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br /> <br /> <br /> <br />Page 1 <br />Account ID AR001 x'96 <br />Facility ID FA000�-96 <br />Date Printed 25 2',.C4 <br />RE: LODI TRUCK SERVICE INC <br />1430 S CHEROKEE LN <br />LODI, CA 95240 <br />OWNER: LODI TRUCK SERVICE INC <br />Health A.—cunt <br />Date prSyram DeS^riptlnn -- <br />Invoice # IN0115689 -- Date of Invoice : 2/4/2004 <br />2/4/2004 2220 SM HW GEN <5 TONS/YR S 224.00.00 <br />2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE S x' <br />Total for this Invoice $ 224.00 <br />Payment Due Date 3,c,2004 <br />TOTAL DUE this Billing Period $ 224.00 <br />FCS 2 ?ons. <br />SAN�OAOU?NV CouNl t <br />i AL <br />-, , iow'A'F <br />lHEALLI H Di:PART MENT <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 tt <br />5255.rpt <br />