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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART, T <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> Account ID AR0005637 <br /> INVOICE <br /> Facility ID FA0005189 <br /> Date Printed F 11/2/2005 <br /> limmommommomms <br /> TANTIYAVARONG,VACHARA RE : CARRYBOY USA INC <br /> CARRYBOY USA INC 2807 S HWY 99 <br /> 2807 S HWY 99 STOCKTON, CA 95205 <br /> STOCKTON, CA 95205 <br /> OWNER : CARRYBOY USA INC <br /> qq <br /> Health - p(, " V Amount <br /> Date program Descriptio <br /> Invoice# ING139531 ---Date of invoice: 11/2/2005 1 MIT 1111111111111111111111111111111111111111111111111111111111111111111111111 IN <br /> 11/2/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> Total forthis Invoice $-200 00 <br /> Payment Due Date 12/2/2005 <br /> TOTAL DUE this Billing PPA MF-NI <br /> eriod $ 200 0 <br /> REQ VED <br /> NOV $ 2005 <br /> SAN JOAQUIN COUN'P( <br /> ENVIRONMENTN- <br /> HFpci,i OEPARTMEW <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 OES/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 /> 5255 rpt <br />