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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0022799 <br /> Facility ID I FA0013643 <br /> Date Printed F 2/5/2004 <br /> HIGH SPEED TRANSMISSION RE : HIGH SPEED TRANSMISSION <br /> 901 W FREMONT ST 901 W FREMONT <br /> STOCKTON, CA 95203 STOCKTON, CA 95203 <br /> OWNER : VILLASENOR, MIGUEL <br /> Date Health <br /> I Program Description Amount <br /> Invoice# IN0116338---Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 100.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 324.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 324.00 <br /> PAYMENT <br /> RECOVED <br /> FEB 1 8 2004 <br /> SAN 3OAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 /> :r;rpi <br />