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_ �Fwawrc.ros< etgLlM PAGE 01/01 <br /> .,... _. - Page 1 <br /> :NVIRONMENTAL HEALTH DEPARTME._ ad <br /> 100 E MAIN STREET <br /> :TOCKTON, CA 95202 <br /> Jhons: 1209,4683420 RECEIVED <br /> INVOICE \ Aoroumq AR0016508 <br /> OCT 21 2011 <br /> Fad*10 F FA0009508 <br /> SAN JOAQUINCOUNTyDessPri„ted10119/2011 <br /> OFFICE OF EMERGENCY SERVICE <br /> BONNIE L BERNEISER RE; GUARANTEE REPAIR SERVICE <br /> GUARANTEE REPAIR SERVICE 101 COMMERCE ST <br /> PO BOX 246 LOOT.CA 95240 <br /> VICTOR, CA 95253-0246 <br /> OWNER: BONNIE BERNEISER <br /> 1 Flpalth Deeviglon Amount <br /> P o0ram �DI��(tt��pp09�t�q■�� I <br /> Imro/col/ IN0210835—Dere of Invoice: 1INM011 III�1MINNNNINIININNIINIIIAI�I�IIII11II101 <br /> 1/28/2011 2220 SM HW GEN-5 TONSfYR E 213.00 <br /> 1/2612011 2244 2D11 HAZMAT FEE 3 300.00 <br /> 1/2012011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE E 20.00 <br /> 12812011 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE E 25.00 <br /> 3202011 987 9Hoz Mat Program Penalty Fee $ 30.00 <br /> 4/152011 9994 PERmrr FEE PENALTY E 21300 <br /> . <br /> PAYMENT <br /> 6292011 9999 IE 7fi.00) <br /> 718/2011 9999 PAYMENT (E 100.001 <br /> Taal br Ws rnvace E 629 o0 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 629.00 <br /> PAST DUF <br /> rielinqueltt charges <br /> will be forwarded to <br /> COLLe6CTIONS <br /> ire 30 days. <br /> Please make Checks PAYABLE to: 'END' – Return a Copy of This STATEMENT with Your PAYMENT <br /> Penaitir MII be added to all Permit Far For OES/HMMP Fees For all SERVICE FEES <br /> at the Rata of joli%of the eado Fee Penables win be added at the Rale of 10% Penali lr well be added at the Rats of 10% <br /> 30 Days alter the Duo Dob 45 Days after the Invoice Date s0 Days after the Invoice Data and each 30 Days theeafter <br /> su4_ p, <br />