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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEP RTMr Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0014728 <br /> Facility ID FA0007952 III <br /> Date Printed 1/28/2008 <br /> MARTINI/AUTO RE : MARTINI AUTO <br /> 4032 N ELbORADb ST 4032 N EL DORADO ST <br /> STOCKTON, CA 95204 STOCKTON, CA 95204 <br /> OWNER : MARTINI'S AUTOMOTIVE <br /> Date Health <br /> Program Descriptio Amount <br /> Invoice# IN0170571 ---Date of Invoice: /25/2008 I(IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/25/2008 2220 SM HW G N<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZ AT FEE $ 100.00 <br /> 1/25/2008 2399 UNIFIED ROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoice $ 337.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 337.0 <br /> PAYMENT <br /> REC!�iVpn <br /> FEB 6 2008 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PA ABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Per it Fees For OES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Bas�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 Dat 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> >25-4.rpt <br />