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ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 600 E MAIN STREET . • <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0016207 <br /> O�O3 Facility ID FA0009207 <br /> Date Printed 5/27/2009 <br /> ALEX & ERNESTO GONZALEZ RE : ARTISTIC ORNAMENTAL IRONWORKS <br /> ARTISTIC ORNAMENTAL IRON WORKS 2228 N WILSON WAY <br /> 2228 N WILSON WAY STOCKTON, CA 95205 <br /> STOCKTON, CA 95205 <br /> OWNER : GONZALEZ, ALEX & ERNESTO P <br /> Dale Health <br /> Program Description Amount <br /> Invoice# IN0184927---Date of Invoice : 1/29/2009 ������� � 1111111111111111111111111 HII IN <br /> 1/29/2009 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 285.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2009 9987 Haz Mat Program Penalty Fee $ 28.50 <br /> 4/15/2009 9994 PERMIT FEE PENALTY $ 213.00 <br /> Total for this Invoicel $ 763.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 763.50 <br /> (3® T <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 f 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 />