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600 E MAIN STREET^� <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE �j A=unt ID AR0025003 <br /> Facility to FA0014696 <br /> ./ <br /> Date Pmted F 11/30/2009 <br /> Immummummommmms <br /> V&J ORNAMENTAL IRON WORKS RE : V&J ORNAMENTAL IRONWORKS <br /> 1201 N FILBERT ST 1201 N FILBERT ST <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 <br /> OWNER : VICTOR RIVARN /JAIME SALAS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0193907—Date of Invoice: 9124/2009 I(IIII IIII III VIII(IIII Ilill lllll IIII VIII(IIII Hill VIII VIII IIII IIIIII VIII IIII IIII <br /> 9/24/2009 2244 2009 HAZMAT FEE PLUS 4 YEARS BACK BILLING II $ 1,425.00 <br /> 11/15/2009 9987 Haz Mat Program Penalty Fee $ 142.50 <br /> Total for this Invoice $ 1,567.50 <br /> Payment Due Date 10/24/2009 <br /> TOTAL DUE this Billing Period $ 1,567.50 <br /> LH AST O , <br /> Delinquent Charges <br /> will be forwarded to <br /> COLLECTIONS <br /> irr 3o 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/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 />