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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE- <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0039862 <br /> INVOICE <br /> Facility ID FA0021888 <br /> Date Printed 1/30/2020 <br /> CHAVEZ TIRES RE : CHAVEZ TIRES <br /> LITZEL MANCILLA 4208 E MAIN ST <br /> 4208 E MAIN ST STOCKTON, CA 95215 <br /> STOCKTON, CA 95215 <br /> OWNER : LITZEL MANCILLA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0330611 ---Date of Invoice: 10/29/2019 1111111 E111 E 11111 IH I 1�1�1 11111 11111 111 11111 111 E�l 1111 111111 11h IN�111 <br /> Hrs Employee <br /> 9/3/2019 2221 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 BAKER $ 76.00 <br /> 9/17/2019 2221 306-FOLLOW UP FOR NON-COMPLIANCE 0.10 BAKER $ 15.20 <br /> 9/20/2019 2221 306-FOLLOW UP FOR NON-COMPLIANCE 0.20 BAKER $ 30.40 <br /> 9/26/2019 2221 306-FOLLOW UP FOR NON-COMPLIANCE 0.20 BAKER $ 30.40 <br /> 1/15/2020 9988 SERVICE CHARGE PENALTY $ 7.60 <br /> 1/15/2020 9988 SERVICE CHARGE PENALTY $ 3.04 <br /> 1/15/2020 9988 SERVICE CHARGE PENALTY $ 1.52 <br /> 1/15/2020 9988 SERVICE CHARGE PENALTY $ 3.04 <br /> Total for this Invoice $ 167.20 <br /> PAST DUE <br /> AS [)UF_! UR <br /> DUE this Billing Period $ 167.20 <br /> P PPRECIATE YOUR <br /> \NE WOULD A -TODW <br /> PAYMENT <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 HMBP 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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> i25l.rpt <br />