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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM"''T Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0003109 <br /> Facility ID FA0003531 <br /> Date Printed 1/28/2008 <br /> OSUK PARK RE : BEST CLEANERS <br /> BEST CLEANERS 541 N HUTCHINS ST <br /> 541 N HUTCHINS ST LODI, CA 95240 <br /> LODI, CA 95240 <br /> OWNER : PARK, OSUK <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0171878---Date of Invoice : 1/25/2008 IIIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII III IIIIII VIII IIIIIIII <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Tota l for this Invoice $ 237.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 237.60 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 2 2008 <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 CES/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 /> 5254.rpt <br />