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Payment Due Date 10/27/2019 <br />TOTAL DUE this Billing Period $ 718.00 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE . <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />Page 1 <br />INVOICE <br />Account ID <br />Facility ID <br />Date Printed <br />AR0031901 1 <br />FA0018131 I <br />10/31/2019 I <br />ALPINE HELICOPTER SERVICE INC <br />KELLY VANDENBURG <br />PO BOX 1405 <br />LODI, CA 95258 <br />RE: ALPINE HELICOPTER SERVICE INC <br />11001W HVVY 12 <br />LODI, CA 95242 <br />OWNER: JOEL DOZHIER <br />Date Health <br />Program Description Amount <br />Invoice # IN0329010 --- Date of Invoice: 9/26/2019 <br /> <br />III 11111 1111111111 1111 11111 IIIII 11111 1111111111 11111 II 1E111 11 1111111111111111111111 <br />9/26/2019 1921 HMBP-Regular-Primary Location $ 364.00 <br />9/26/2019 1922 CERS Processing Fee $ 30.00 <br />9/26/2019 2220 SM HW GEN <5 TONSNR $ 249.00 <br />9/26/2019 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br />9/26/2019 APSA APSA SURCHARGE $ 26.00 <br />Total for this Invoice $ 718.00 <br /> <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% <br /> 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 />5254.rpt