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SAN J-OAQUIN COUNTY <br /> 'ENVIRONMENTAL HEALTH DEPARTV 'IT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0016144 III <br /> Facility ID FA0009144 <br /> Date Printed 1/24/2005 111 <br /> VALLEY PLATING RE : VALLEY PLATING <br /> 1236 N FILBERT ST 1236 N FILBERT ST <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 <br /> OWNER : MICHAEL ESTUS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128967---Date of Invoice : 1/24/2005 I IIIIII IIIIII III VIII VIII VIII VIII VIII VIII ILII VIII VIII IIII IIIIII II11I IIII IIII <br /> 1/24/2005 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 330.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 554.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 554.00 <br /> RECE VEC' <br /> FEB � 3 2005 <br /> SAN JOAODtN COUNTY <br /> HEATH 0EPAIVIONME R MEN <br /> T <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/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 /> 525i.rpt <br />