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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM' 'T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0025985 <br /> Facility ID FA0015139 III <br /> Date Printed 1/30/2006 <br /> DAVID J PHILPOT RE : PHILPOTT'S GARAGE <br /> PHILPOTT;GA GE 7880 W 11TH ST <br /> 7880 W ELEVENT ST TRACY, CA 95304 <br /> TRACY, CA 95304; <br /> OWNER : PHILPOTT, DAVID J <br /> Health <br /> Date Program Descriptio <br /> Amount <br /> Invoice# IN0144506---Date of Invoice: 1/27/2006 11111111 111111 III VIII VIII VIII VIII VIII VIII VIII VIII 111111111111111 IIII IIII <br /> 1/27/2006 2220 SM HW G N<5 TONS/YR $ 200.00 <br /> 1/27/2006 2399 UNIFIED ROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 224.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 224.00 <br /> .1 0 2006 <br /> �y <br /> UN <br /> N <br /> Please make Checks JAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fee 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 />