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CNV1MVP/IVICI`4 I ML nCML I n ve111111­-•1 <br /> 600 E MAIN STREET <br /> 'STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 RECEIVED <br /> INVOICE �� RECEIVED Account ID AR0031829 <br /> ,/I Y f! 4 A X1!1{ <br /> LJI LMOMMOOMMMMME <br /> Facility ID FA0018094 <br /> SAN JOAQUIN COUNTY LOOMMOMMMMMMEN <br /> OFFICE OF EMERGENCY SERVICE%ate Printed 5/26/2011 <br /> DAVILA, CESAR RE : MASTER AUTO REPAIR <br /> MASTER AUTO REPAIR 3091 N WILSON WAY <br /> 1818 TORINO DR STOCKTON, CA 95205 <br /> STOCKTON, CA 95205-2564 <br /> OWNER : DAVILA, CESAR <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0207228—Date of invoice: 9/23/2010 IIIIIIIIIIIIIVIIIVIIIVIIIIIIIIIIIIIIIIIIII VIII INIIIIIIIIIIIINIII <br /> Hrs Employee <br /> 8/13/2010 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 BACKUS $ 61.00 <br /> 12/15/2010 9988 SERVICE CHARGE PENALTY $ 6.10 <br /> 1/15/2011 9988 SERVICE CHARGE PENALTY $ 6.10 <br /> 2/15/2011 9988 SERVICE CHARGE PENALTY $ 6.10 <br /> Total for this lnvotce $ 79.30 <br /> PAST DUE <br /> Invoice# IN0213454--Date of Invoice: 1/31/2011 1111111 111111 III IIIII IIIII IIIII IIIII IIIIIIIIII IIIII IIIII IIIII 111111111111111 IIII IIII <br /> 1/28/2011 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/28/2011 2244 2011 HAZMAT FEE $ 115.00 <br /> 1/28/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/20/2011 9987 Haz Mal Program Penalty Fee $ 11.50 <br /> 4/15/2011 9994 PERMIT FEE PENALTY $ 213.00 <br /> Total for this Invoicel $ 601.50 <br /> PAST DUE <br /> [ TOTAL DUE this Billing Period $ 680.80 <br /> l.. 4 .. <br /> Delin"'l;Mj <br /> will be <br /> in, a_Q tjays, <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 />