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600 E MAIN STREET <br /> •STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE �� � AccountlD AR0020314 <br /> Facility ID FA0012457 <br /> SAN JOAQUIN COUNTY <br /> OFFICE OF EMERGENCY SERVICES Date Printed 5!26/2011 <br /> GARZA, DAVID RE : J K AUTOMOTIVE <br /> J K AUTOMOTIVE 710 E YOSEMITE AVE <br /> 710 E YOSEMITE AVE MANTECA, CA 95336-5827 <br /> MANTECA, CA 95336-5827 <br /> OWNER : GARZA, DAVID <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0211239---Date of Invoice: 1/31/2011 I IIIIIII IIIIIIIII IIIIIIIIIIIIIIUIIIIIIIIIIIIII IIIII'IIIIVIII IIIIIIIIII 11111 11111111 <br /> 1/28/2011 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/28/2011 2244 2011 HAZMAT FEE $ 100.00 <br /> 1/28/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/20/2011 9987 Haz Mat Program Penalty Fee $ 10.00 <br /> 4/15/2011 9994 PERMIT FEE PENALTY $ 213.00 <br /> Total for this Invoice $ 585.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 585.00 <br /> Di of ec--j-.ent 1--'haffir` <br /> ges <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 /> 52i4.rpt <br />