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' ENVIRONMENTAL HEALTH DEPARTMED'TPage 1 <br /> 640 E MAIN STREET - <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR00099$$ <br /> r Facility ID FA0006983 <br /> Date Printed 5/28/2008 <br /> LPS WATER COITOWER PARK MARINA RE : LPS WATER CO/TOWER PARK MARINA <br /> 14900 W HWY 12 14900 W HWY 12 <br /> LODI, CA 95242 LODI, CA 95242 <br /> OWNER : LITTLE POTATO SLOUGH WATER CO <br /> Health <br /> Date Program Description <br /> Amount <br /> Invoice# IN0176824—Date of Invoice: 5/27/2008 I11111111I111111I11111IIIl1111111IINI1Il1lIlllillll11111 lull 111111111111111 IN 1111 <br /> 5/27/2008 4242 WASTE WATER TX PLANT <br /> $ 470.00 <br /> Total for this Invoice <br /> $ 470.00 <br /> Payment Due Date 6127/2008 <br /> TOTAL DUE this Billing Period $ 470.00 <br /> E <br /> 4 <br /> J U III - 9 ZOO$ <br /> sO�3 i Aort4rNnE a A�- <br /> •r <br /> 1EA111 pEPARTMEKT, <br />'F. <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 OES 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 />