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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARThfT • Page 1 <br /> 304 E WEBER AVE -3RD FLOOR r <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0000s2a <br /> Facility ID F FA0000629 <br /> LMMMMMMMEEMN <br /> Date Printed F 12/11/2006 <br /> THOM CLARK RE : CAL STATE RENTALS INC <br /> CAL STATE RENTALS INC 2769 W HATCH RD <br /> 2769 W HATCH RD MODESTO, CA 95358 <br /> MODESTO, CA 95358 <br /> OWNER : USA WASTE SERVICES, INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0153857---Date of Invoice: 1111712006 11111111111111111111111111111111111111 <br /> 11/17/2006 4244 PUMPERTRUCK $ 141.00 <br /> 11/17/2006 4255 CHEMICAL TOILETS $ 480.00 <br /> Total forthis Invoicel $ 621.00 <br /> Payment Due Date —/12//20�1� <br /> TOTAL DUE thiPAYENs Billing Period $ 621.00 <br /> RECEIVED <br /> DEC 11 2006 <br /> SAN JOAOUIN COUbjTy <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 DES I 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 />