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Page 1A <br />AR0041921Account ID <br />INVOICE <br />FA0022851Facility ID <br />10/22/2015Date Printed <br />OWNER: SANCHEZ, LUIS <br />Date Description Amount <br />Invoice# IN0265376 — Date of Invoice : 4/14/2015 <br />Hrs <br />Total for this Invoice I $526.50 <br />PAST DUE <br />TOTAL DUE this Billing Period| $526.50 <br />Please make Checks PAYABLE to: 'EHD'Return a Copy of This STATEMENT with Your PAYMENT <br />5254. rpt <br />SAN JOAWUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPAR’' 'NT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209)468-3420 <br />Penalties will be added to all Permit Fees <br />at the Rate of 100% of the Base Fee <br />30 Days after the Due Date <br />4/14/2015 <br />5/20/2015 <br />5/24/2015 <br />Health <br />Program <br />SANCHEZ, LUIS <br />MENUDO POZOLE FESTIVAL <br />941 N WALNUT ST APT R <br />LA HABRA, CA 90631-2849 <br />9999 <br />1695 <br />1695 <br />PAYMENT <br />520 - SPECIAL EVENT REVIEW / INSPECTION <br />920 - OT SPECIAL EVENT REVIEW/INSPECTION <br />For HMBP Fees <br />Penalties will be added at the Rate of 10% <br />45 Days after the Invoice Date <br />1.00 <br />2.70 <br />RE : MENUDO POZOLE FESTIVAL <br />235 N CENTER (WEBER POINT) ST <br />STOCKTON, CA 95202 <br />FLOHRSCHUTZ <br />FLOHRSCHUTZ <br />($ <br />$ <br />$ <br />130.00) <br />130.00 <br />526.50 <br />For all SERVICE FEES <br />Penalties will be added at the Rate of 10% <br />60 Days after the Invoice Date and each 30 Days thereafter <br />iiiiiiiiiMi ini mi iiiiiiiiiiiiiniiiiiiiiiiiiiiiiiiin <br />Employee <br />PAST DUE' <br />wouuj Y0Ua <br />paymeit* foday. <br />vM f*)