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. . .. .. . . . . <br /> 000 E MAIN STREET <br /> ,STOCKTON, CA 95202 �- COPY <br /> Phone: (209)468-3420 RECEIVED ECEIVED <br /> INVOICE (0��� is Account lD F AR0016948 <br /> LMMMMMOMOMMM <br /> V) <br /> Facility ID FA0009948 <br /> SAN <br /> OFFICE OF EMERGENCY SERVICES Date Printed F 5/26/2011 <br /> loommmmommoommma <br /> A&A ROSSI HAY SERVICE RE : A & A ROSSI HAY SERVICE <br /> PO BOX 332 511 N AIRPORT WAY <br /> MANTECA, CA 95336 MANTECA, CA 95336 <br /> OWNER : A & A ROSSI HAY SERVICE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0207601 --Date of Invoice: 10/25/2010 IIIIII IIIIIIIIIIII VIII VIIIIIIIIVIIVIIIVIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> Hrs Employee <br /> 9/24/2010 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 NAIDU $ 61.00 <br /> 9/24/2010 2832 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 NAIDU $ 61.00 <br /> 1/15/2011 9988 SERVICE CHARGE PENALTY $ 6.10 <br /> 1/15/2011 9988 SERVICE CHARGE PENALTY $ 6.10 <br /> 2/15/2011 9988 SERVICE CHARGE PENALTY $ 6.10 <br /> 2/15/2011 9988 SERVICE CHARGE PENALTY $ 6.10 <br /> 3/15/2011 9988 SERVICE CHARGE PENALTY $ 6.10 <br /> 3/15/2011 9988 SERVICE CHARGE PENALTY $ 6.10 <br /> Total for this Invoice $ 158.60 <br /> PAST DUE <br /> Invoice# IN0210964---DateofInvoice: 1/31/2011 I1111111IIIIIIIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIIIIIIIIIIIIIIIIIIIIIVIIIINIIII <br /> 1/28/2011 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/28/2011 2244 2011 HAZMAT FEE $ 315.00 <br /> 1/28/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 2832 AST FAC 10 K-</=100 K GAL CUMULATIVE $ 675.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/20/2011 9987 Haz Mat Program Penalty Fee $ 31.50 <br /> 4/15/2011 9994 PERMIT FEE PENALTY $ 213.00 <br /> 4/15/2011 9994 PERMIT FEE PENALTY $ 675.00 <br /> Total for this Invoice $ 2,171.50 <br /> I, ` <br /> PAST DUE <br /> �7E)IY3C(�Ft;i"i'i t;("e nf•,a_OnS•. <br /> v4111 bc" ictiv,,a --'el 3 tc TOTAL DUE this Billing Period $ 2,330.10 <br /> `yy• as^.W.n+ '.9�'LL VSs/ <br /> d`fzYi°�. <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 /> �2i4.rpl <br />