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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM"'T <br /> 304 E WEBER AVE -3RD FLOOR "mp <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209468-3420 <br /> INVOICE Account ID AR0003109 <br /> Facility ID FA0003531 <br /> Dale Printed 2/28/2006 <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 Amount <br /> Program Description <br /> Invoice# IN0144605--Date of Invoice: 1/27/2006 I VIII I IIII II II I VIII VII VII VII VIII VI I VIII VII IIII IIII 111111111 III <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 224.00 <br /> Payment Due Date 12 6 <br /> SEMNIUD ®TACE TOTAL DUE this Billing Period $ 224.0 <br /> `3AYMENT <br /> It jECEIVED <br /> MAR 0 7 2006 <br /> SAN JOAOUIPI COUAM. <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/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 />