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WHIN JUAUU114 l+UU1N 1 T r <br /> ENVIRONMENTAL HEALTH DEPARTMF T Page 1 <br /> fDD E V AIN STREET )) <br /> STOCKTON, CA 95202 C <br /> QPY <br /> Phone: (209)468-3420 <br /> INVOICE Account lD AR0002713 <br /> Facility ID FA0003147 <br /> r <br /> Date Printed 11/20/2008 <br /> I SILVA, R TONY RE : SILVA, R TONY <br /> 5152 W GRANTLINE RD 5162 W GRANT LINE RD <br /> TRACY, CA 95304 TRACY, CA 95304 <br /> t <br /> OWNER : SILVA, R TONY <br /> Health <br /> Date Program Description <br /> Amount <br /> Invoice# IN0181692--Date of Invoice: 91/19/2008 11111111FIT 11111111111111111111111111111111111111111111111111111111111111111111111 <br /> 11/19/2008 4244 PUMPER TRUCK $ 150.00 <br /> t 11/19/2008 4246 PUMPER YARD $ 105.00 <br /> Total For this Invoice $ 255.00 <br /> Payment Due Date 12/20/2008 <br /> 1 <br /> TOTAL DUE this Billing Period $ 65,060 <br /> R F E rrM PS F.0 <br /> DEC 17 2008 <br /> ENVIRONMENT HEALTH <br /> PERMIT/SERVICES <br /> E <br /> l <br /> f <br /> I€ <br /> I4 <br /> l <br /> r: 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 /> 3 <br />