Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOICE Account to r AR0016729 <br /> Facility ID FA0009729 <br /> Date Printed 4/10/2015 <br /> RYAN COBB RE : CLUTCHES N MORE <br /> CLUTCHES N MORE 3805 N WEST LN STE Al <br /> 3805 WEST LN STE Al STOCKTON, CA 95204 <br /> STOCKTON, CA 95204 <br /> OWNER : RYAN COBB <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0265305---Date of Invoice: 4/1 012 01 5 IIIIIII'�II'��II I'III IIIII'I�I IIII'III�'II'II VIII II'�II'II)11111111111111 <br /> 4/10/2015 1920 HMBP-Common Materials $ 85.00 <br /> 4/10/2015 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 4/10/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> 4/15/2015 9996 APPLY DISCOUNT ($ 53.25) <br /> Total for this Invoice $ 279.75 <br /> Payment Due Date 5/10/2015 <br /> TOTAL DUE this Billing Period $ 279.75 <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 /> �2i4 pi <br />