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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPA TM' Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0017782 <br /> Facility ID FA0010782 <br /> Date Printed 4/24/2006 <br /> MUMM, JERRY RE : PAPE MACHINERY <br /> PAPE MACHINERY 8855 S EL DORADO ST <br /> 8621 S EL DORADO ST FRENCH CAMP, CA 95231 <br /> FRENCH CAMP, CA 95231 <br /> OWNER : PAPE MACHINERY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143092---Date of Invoice : /27/2006 111$111111 H 11111 11H 11111 1111�1111 11111 11111 11111 11h 1111 111111 11111 1111 IN <br /> 1/27/2006 2220 SM HW G N<5 TONS/YR $ 200.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 224.00 <br /> Payment Due Date 3 <br /> i <br /> TOTAL DUE this Billing Period $ 224.0 <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 /> 5254.rpt <br />