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SAN JOAQUIN COUNTY <br /> ENVIRONMFNTAL HEALTH DEPARTM Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 ✓1 t /) <br /> Phone: (209) 468-3420 <br /> INVOICE � �� Account ID AR0022799 <br /> Facility ID FA0013643 <br /> Date Printed 2/8/2012 <br /> HANMORE, BRIAN FEB 2L 2012 RE : HIGH SPEED TRANSMISSION <br /> HIGH SPEED TRANSMISSION 901 W FREMONT <br /> 1708 BARTLETT CT ENVIRONMrNT HEALTH STOCKTON, CA 95203 <br /> STOCKTON, CA 95206-6358 PERMIT/SERVICES <br /> OWNER : HANMORE, BRIAN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0223826—Date of Invoice: 1/30/2012 IIIIII II VII VIIVIII VIII VIIIIIIIIIIIIIV IVIIIII III IIII�IIII IIII <br /> 1/27/2012 2220 SM HW GEN c5 TONS/YR $ 213.00 <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 100.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> Total forthis Invoice $ 362.00 <br /> Payment Due Date 2/29/2012 <br /> TOTAL DUE this Billing Period $ 362.00 <br /> as <br /> x(10 e CX11) �c S <br /> ._ - <br /> pp as--e pr <br /> C�v id s i � I f <br /> Q\,vo lc� q � CP 117 <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 /> _,3 rw <br />