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VAI\ "Ar%%b(V11\ VVVI\1 1 <br /> ENVIRONMENTAL HEALTH DEPA TM Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 �" <br /> Phone: (209)468-3420 '� [PY <br /> INVOICE Account ID AR0004379 <br /> Facility ID FA0002387 <br /> Date Printed 2/7/2008 <br /> KEYSTONE AUTOMOTIVE INDUSTRIES INC RE : KEYSTONE AUTOMOTIVE INDUSTRIES INC <br /> 1627 ARMY CT STE 7 632 S EL DORADO ST <br /> STOCKTON, CA 9,5206-4100 STOCKTON, CA 95203 <br /> OWNER : KEYSTONE AUTOMOTIVE IND INC <br /> Date Health <br /> Program Descr'ption Amount <br /> Invoice# IN0170574---Date of Invoice : /25/2008 11111111 111111 III VIII VIII VIII VIII VIII VIII VIII VIII VIII 1111111111 VIII IIII IIII <br /> 1/25/2008 2220 SM HW GEN <5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZ AT FEE $ 300.00 <br /> 1/25/2008 2399 UNIFIED FROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 537.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 37.00 <br /> PAYMENT <br /> RECEIVED <br /> FFB 13 2008 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 />