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,SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTP T Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR6029823 y <br /> INVOICE <br /> Facility ID FA0016941 <br /> Date Printed 2/12/2015 ' <br /> ENSHER ALEXANDER BARSOOM INC RE : ENSHER ALEXANDER BARSOOM INC <br /> PO BOX 27 0 UPPER JONES TRACT(CAMP 2 <br /> HOLT, CA 95234 HOLT, CA 95234 <br /> OWNER : ENSHER ALEXANDER BARSOOM INC <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0259909---Date of Invoice: 1129/2015 IRIII 111111 111 11111 11111 11111 11111 11111 11111 1111 11111 1111 111111 11111 1111 1111 <br /> 1/29/2015 1958 HM-Farm Operations $ 18.00 <br /> 1/29/2015 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/29/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> 1/29/2015 APSA APSA SURCHARGE $ 26.00 <br /> 2/15/2015 9997 CORRECTION TO A CHARGE ($ 35.00) <br /> 2/15/2015 9997 CORRECTION TO A CHARGE ($ 213.00) <br /> 2/15/2015 9997 CORRECTION TO A CHARGE ($ 18.00) <br /> Total forthis Invoice $ 26.00 <br /> Payment Due Date 2/28/2015 <br /> Invoice# IN0262327---Date of Invoice: 1/29/2015 1111111 11111 E IIIII 11111 11111�1111 11111 11111 11111 1111 11111 1111 11111 IRI 1111 IN <br /> 1/29/2015 1958 HM-Farm Operations $ 18.00 <br /> 1/29/2015 2221 USED OIL ONLY-<5 TONS/YR <br /> $ 54.00 <br /> 1/29/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total forthis Invoice 1 $ 107.00 <br /> Payment Due Date 2/28/2015 <br /> TOTAL DUE this Billing Period $ 133.00 <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 /> 5254.rpt <br />