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SAN JUAWUIN t;UUN 1 T <br />ENVIRONMENTAL HEALTH DEPARTMF"T <br />3049E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />CITY GARAGE <br />604W 11TH ST <br />TRACY, CA 96376 <br />Date Health <br />Description <br />INVOICE <br />Invoice # IN0142763 — Date of Invoice : 1/27/2006 <br />Page 1 <br />copy <br />Account ID AR0016583 <br />Facility ID FA0009583 <br />Date Printed 1/30/2006 <br />t` y <br />RE: CITY GARAGE <br />604 W 11TH ST <br />TRACY, CA 95376 <br />OWNER: JOHN D DITURI <br />1/27/2006 2220 SM HW GEN <5 TONSNR <br />1/27/2006 2244 2006 HAZMAT FEE <br />1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />Amount <br />IIIIIIIIIIIIIIIIIIIilIIflflll[llllllllllllhillifflll111llllllMilli] lllllllllllN <br />$ 200.00 <br />$ 115.00 <br />$ 24.00 <br />Total for this invoice $ 339.00 <br />Payment Due Date 3112006 <br />TOTAL DUE this Billing Period $ / 339.90 <br />Pq y <br />FE,q 1 0 2006 <br />S RO Ully COUNTY <br />ti ry PpRNT Nr <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 thereafte <br />��T -F <br />