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600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR00 55542 <br /> LMONEEMMENOOM <br /> 2� �q Facility ID FA0019963 <br /> Date Printed 11/30/2009 <br /> ULLOA'S TOW&AUTO REPAIR RE : ULLOA'S TOW&AUTO REPAIR <br /> 620 S WILSON WAY STE C 620 S WILSON WAY STE <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 <br /> OWNER : ULLOA'S TOW&AUTO REPAIR <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0193893—Date ofInvoice: 9/24/2009 11111111111111 El 1111111111ME11111Ell 1111111111Hill 11111111 <br /> 9/24/2009 2244 2009 HAZMAT FEE PLUS 4 YEARS BACK BILLING $ 500.00 <br /> 11/15/2009 9987 Haz Mat Program Penalty Fee $ 50.00 <br /> Total forthls Inrolp $ 550.00 <br /> Payment Due Date 10/24/2009 <br /> TOTAL DUE this Billing Period $ 550.00 <br /> k,4 AST <br /> Delinquent charges <br /> will be forwarded to <br /> COLLECTIONS <br /> irk 30 day's. <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 OES/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 />