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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMO • <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE account ID AR0016965 <br /> Facility ID FA0009965 <br /> Date Printed 3/1212004 <br /> BARNES TRUCKING INC <br /> RE : BARNES TRUCKING INC <br /> 1817 S FRESNO AVE <br /> P.O. BOX 6158 STOCKTON, CA 95206 <br /> STOCKTON, CA 95206 <br /> OWNER : DAVID BARNES <br /> HealthAmount <br /> Date Program Description <br /> Invoice# IN0115854---Date of invoice: 2/4/2004 $ 200.00 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 300.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 24.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> Total forth;,Invoice $ 524.00 <br /> Payment Due Date 316/2004 <br /> TOTAL DUE this Billing Period $ 524.00 <br /> PAYMENT <br /> RECEIVED <br /> MAR 12 2004 <br /> SAN JOAQUIN 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 DES I HMMP Fees <br /> For,all SERVICE FEES <br /> Penalties will be added at the Rate of 10% <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% 60 Das after the Invoice Date and each 30 Days thereafter <br /> 30 Days after the Due Date 45 Days after the Invoice Date Y <br /> 5255.rpt <br />