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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTO11 AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />Page 1 <br />Account ID AR0001903 <br />INVOICE <br />Return This INVOICE with Your PAYMENT Facility D <br />lFA000,ass <br />Date Printed10/26/2021 <br /> <br /> <br /> STOCKTON, CA 95219 <br />OWNER: CERNOTA, RAYMOND <br />Date Health <br />Program Description Arpont <br />Invoice # IN0341145 --- Date of Invoice : 10/2912020 <br />10/29/2020 3611 PUBLIC POOL/SPA- PRIMARY <br />ATTENTION <br />YOUR HEALTH PERMIT <br />FOR THE CURRENT YEAR <br />MAY NOT BE ISSUED UNTIL <br />PAST DUE AMOUNTS ARE <br />PAID IN FULL <br />Invoice # IN0361609 -- Date of Invoice : 10/26/2021 <br />PAST DUE! <br />Delinquent charges over <br />90 days! <br />10/26/2021 3611 PUBLIC POOL/SPA- PRIMARY <br />I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br />PRO360068 $ 283.00 <br />Total for this Invoice $ 283.00 <br />Payment Due Date 11/30/2020 <br />I IIIIIII IIIIII III VIII (IIII VIII VIII VIII VIII VIII VIII (IIII IIII IIIIII VIII IIII IIII <br />PR0360068 $ 283.00 <br />Total forth is Invoice I $ 283.00 <br />11/30/2021 <br />TOTAL DUE this Billing Period $ 566.00 <br />eoWould you like Invoices electronically or need to update the email address for this account? Fill out the <br />form below with the information with up to 2 email addresses: <br />Email 1 <br />Email 2 <br />Please make Checks PAYABLE to: 'EHD' or <br />Pay online at: 'https://www.sjgov.oro/department/envhealth/online-r)avment' <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 End of report <br />