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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEP RTMr"'T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0020957 <br /> Facility ID 'FA0012656 <br /> Date Printed 1 2/28/2006 <br /> FLORES, JOSE/T�GIN, ANTHONY RE : A& J AUTO PROS <br /> A& J AUTO PROS 8423 S EL DORADO ST <br /> 8423 S EL DORAD ST FRENCH CAMP, CA 95231 <br /> FRENCH CAMP, C 95231 <br /> OWNER : FLORES, JOSE/TAGIN, ANTHONY <br /> Date Health <br /> Program Descriptior Amount <br /> Invoice# IN0143207---Date of Invoice: /27/2006 1111111111$E 11111 11111 11111 11111 11111 11111�1111 11111 1111 11111�1111�1111 IN <br /> 1/27/2006 2221 USED OIL NLY-<5 TONS/YR $ 50.00 <br /> 1/27/2006 2399 UNIFIED ROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 74.00 <br /> Payment Due Date <br /> I <br /> TOTAL DUE this Billing Period $ 74 00 ' <br /> SECO NOTICE <br /> A� <br /> S4,1 �foo i <br /> 9< y F 4f, '00, <br /> MFN� <br /> Please make Checks PA�ABLE 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 /> �2--4.rpt <br />