Laserfiche WebLink
SAN JOAgUIN COUNTY • • Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> ^ COPY AR0018027 <br /> INVOICE: Account lD <br /> Facility ID FA0011027 <br /> _"...---- —._._... <br /> Date Printed F-11-30/2014 <br /> LUENEMENOMMMOMM <br /> LOCKEFORD COMMUNITY SVC DIST RE : LOCKEFORD COMMUNITY SVC DIST <br /> <br /> LOCKEFORD, CA 95237 <br /> OWNER : LOCKEFORD COMMUNITY SVCS DIST <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0248617—Date of Invoice: 1/30/2014 IIIIIIII IIII IIIIIIIIIIIIII VIII IIIIIIIIIIIIIIIIIIIIII 111111 Nil IIIIIIII <br /> 1/30/2014 1921 HMBP-Regular-Primary Location $ 270.00 <br /> 1/30/2014 1995 CaIARP FAC STATE SURCHARGE FEE $ 270.00 <br /> 1/30/2014 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 788.00 <br /> Payment Due Date 311/2014 <br /> TOTAL DUE this Billing Period $ 786.00 <br /> PLEASE CHANGE BILLING ADDRESS TO <br /> Lockeford Community Services District <br /> P. O. Box 809 <br /> Lockeford, CA 95237-0809 <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 HMBP 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 /> 5254rpt <br />