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600 E MAIN STREET <br /> STOCKTON, CA 95202 - <br /> Phone: (209)468-3420 <br /> INVOICE A=unt ID AR0034058 <br /> f (� Fadlrty ID FA0019126 <br /> LMMMOMMOMMA <br /> l Date Printed 11!30/2009 <br /> GEORGE MEDEIROS RE : PALLET KING INC <br /> PALLET KING INC 1881 E MARKET ST <br /> PO BOX 31255 STOCKTON, CA 95205 <br /> STOCKTON, CA 95213 <br /> OWNER : PALLET KING INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0193969—Date of Invoice : 9/24/2009 111111111111111IIH1111n111111111I IN <br /> 9/24/2009 2244 2009 HAZMAT FEE PLUS 1 YEAR BACK BILLING $ 170.00 <br /> 11/15/2009 9967 Haz Mat Program Penalty Fee $ 17.00 <br /> Total brthls Invoice f 187.00 <br /> Payment Due Date 10/24/2009 <br /> TOTAL DUE this Billing Period $ 187.00 <br /> [ aha U <br /> Delinquent charges <br /> will be forwarded to <br /> COLLECTIONS <br /> irP 30 days. l� <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 I 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 /> 5254 rpt <br />