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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEP RTk_ ,T 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 <br /> Date Printed 6/27/2011 <br /> MARTINI AUTO RE : MARTINI AUTO <br /> 4032 N EL DORA60 ST 4032 N EL DORADO ST <br /> STOCKTON, CA 115204 STOCKTON, CA 95204 <br /> OWNER : MARTINI'S AUTOMOTIVE <br /> Datc Health <br /> Program Descriptic n Amount <br /> Invoice# IN0217788---Date of Invoice: 6/24/2011 11111 11111 1111 111111 11111 1111 IN <br /> Hrs Employee <br /> 5/10/2011 2220 306-FOL OW UP FOR NON-COMPLIANCE 0.50 BACKUS 61.00 <br /> Total for this Invoice $ 61.00 <br /> Payment Due Date (;;61.00 <br /> 27/20 <br /> TOTAL DUE this Billing Period $ <br /> - PAY�EN� <br /> RECENEO <br /> JUL _5 20" <br /> ��NtGEN7At- <br /> ENT <br /> Please make Checks F7YABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES I 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 /> 5'_54.rpt <br />