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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 AR0048209 <br /> INVOICE <br /> Facility ID FA0025534 <br /> Date Printed 10/31/2019 <br /> AARON FOUNTAIN RE : ALL STAR HEAVY HAUL &TOW <br /> ALL STAR HEAVY HAUL & TOW 17830 S IDEAL PKWY <br /> 17830 S IDEAL PKWY MANTECA, CA 95336 <br /> MANTECA, CA 95336 <br /> OWNER : FOUNTAIN, AARON <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0330242---Date of Invoice: 10/3/2019 11111 1111 111111 11111 1111 IN <br /> 10/3/2019 2220 SM HW GEN<5 TONSNR $ 249.00 <br /> 10/3/2019 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> Total for this Invoice $ 298.00 <br /> Payment Due Date 11/2/2019 <br /> TOTAL DUE this Billing Period $ 298.00 <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 /> 5254.rpt <br />