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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTP- "T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0017132 <br /> Facility ID FA0010132 <br /> Date Printed 1/24/2005 <br /> <br /> <br /> LODI, CA 95240-1020 <br /> OWNER : KENNETH GREGG <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128208---Date of Invoice: 1/24/2005 11111 1111 111111 11111 IN IN <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 255.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 479.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ ;:479�:0:0: <br /> PAY MEN 1" <br /> RECEIVED <br /> FEB <br /> SAN JOAQUIN C'01;','Ty <br /> ENVIRON'Ar W <br /> HEALTH DEPAH I M LLT <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 /> 5255.rpi <br />