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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> INVOICE AccountlD AR0026684 <br /> Facility ID FA0015465 <br /> Date Printed 4/2/2012 <br /> JOSH EWERT RE : FORMR MONTGOMERY WARDS AUTO SRV <br /> GEOCON CONSULTANTS INC CTR <br /> 3160 GOLD VALLEY DRIVE STE 800 5400-5606 PACIFIC AVE <br /> RANCHO CORDOVA, CA 95742 STOCKTON, CA 95207 <br /> OWNER : STONE BROS AND ASSOCIATES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0227031 ---Date of Invoice: 2/28/2012 1I1IIIIIIIIIVIIVIIII111I1IIVIIIVIIIVIIIIIIIIII1III 111111111111111 IIII <br /> Hrs Employee <br /> 1/9/2012 2957 312-CONSULTATION 1.00 INFURNA $ 125.00 <br /> 1/23/2012 2957 315-REPORT REVIEW 1.50 INFURNA S 187.50 <br /> 1/24/2012 2957 315-REPORT REVIEW 1.00 INFURNA $ 125.00 <br /> Total for this Invoice $ 437.50 <br /> Y Payment Due Date 3/30/2012 <br /> n /G TOTAL DUE this Billing Period $ X437.50 <br /> �,UrV <br /> PAYMENT <br /> RECEIVED <br /> APR 2 2012 <br /> SAN JOAQUIN COUNT( <br /> ENVETAL <br /> PARTMENT <br /> HEALTH D <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 DES/Hi 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 /> 5254rpt <br />