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ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID ------------- <br /> AR0005274 <br /> Facility ID FA0004837 <br /> LMMMMMMMIMMA <br /> Date Pnnted 5/24/2004 <br /> B&B EQUIPMENT RE : B&B EQUIPMENT <br /> PO BOX 31600 3132 FARMINGTON RD <br /> STOCKTON, CA 95213-1600 STOCKTON, CA 95205 <br /> OWNER : RICHARD O BYWATER <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN01 15902—Date of Invoice: 214/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 255.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 3/21/2004 9987 Haz Mat Program Penalty Fee $ 25.50 <br /> 4/15/2004 9994 PERMIT FEE PENALTY $ 200.00 <br /> (°1�\°'�� �` Total for this Invoice $ 704.50 <br /> PA VT U PAST DUE <br /> WE WOULD APPRECIATE YOUR TOTAL DUE this Billing Period $ 704.50 <br /> PAYMENT TODAY! A Ml ICON <br /> YOUP W ALTH PERMIT FOR <br /> THE CURRENT YEAR <br /> WILL NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS <br /> ARE PAID IN FULL <br /> PAST DUE <br /> Delinquent Charges <br /> will be forwarded to <br /> COLLECTIONS <br /> in 30 days. <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 /> 5255.rpt <br />