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nn . WnWUIN UUUNI T <br /> ENVIRONMENTAL HEALTH DEPARTM—"T Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 COPY <br /> INVOICE Account ID AR0016370 <br /> Facility ID FA0009 770 <br /> LMUMMOMMMMM <br /> Date Printed 1/30/2006 <br /> KUSTOM KURVES BODY SHOP RE : KUSTOM KURVES BODY SHOP <br /> 4 N HOUSTON LN 4 N HOUSTON LN <br /> LODI, CA 95240 LODI, CA 95240-2420 <br /> OWNER : ROSE, DOUG <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0142679---Date of Invoice : 1/27/2006 IIIIIIIIIIIIIIIIIVIIIVIII VIII VIII VIIIIIIIIIIIII VIII VIII IIIIIIIIII VIII IIII IIII <br /> 1/27/2006 2220 SM HV/GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 255.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 479.00 <br /> Payment Due Date 311/2006 <br /> TOTAL DUE this Billing Period $ � 479. <br /> FEB 2 g 2006 <br /> SAN JOAOUIPI COUNT <br /> ENVIRONMENTAL <br /> HEALTH DEPA RTMENr <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 /> z2�4 rpt <br />