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AN COUNTY <br /> MENTAL HEALTH DEPARTMENT � C� � � Z �j Page 1 <br /> /AZELTON AVENUE J / <br /> .TON, CA 95205 <br /> ,e: (209)468-3420 <br /> AMENDED Account ID FAR00065 88 <br /> L� Ib�2 \I `V1f 1 INVOICE FacilityID FA0005802 <br /> Paci fI G AcI n LCtllidS/11 ()C- Date Printed 2/6/2015 <br /> J&&4641 <br /> µ (415 51 N'vrth forts <br /> al <br /> L]rJ3�JS RE <br /> q 19750 N LOWER SACRAMENTO RD <br /> P043g*4026^ ACAMPO, CA 95220 <br /> 8 <br /> OWNER : ABERLE ACRES INC <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0260598--Date of Invoice: 1/29/2015 IIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIII VIIIlIIIIIIIII IIIIIIIIII IIII IIIIII 11111 1111 IIII <br /> 1/29/2015 1958 HM-Farm Operations $ 18.00. <br /> 1/29/2015 2220 SM HW GEN<5 TONSNR $ 213.00 <br /> 1/29/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 266.00 <br /> t \ Payment Due Date 2/2812015 <br /> Invoice# IN0263882---Date of Invoice: 2/5/2015 '' `( I IIIIIII IIIIII Illtllllllllllllllllllllllll IIIIIIIIII(IIII IIIIIIIIIIIIIIIIIII IIII <br /> 2/5/2015 APSA APSA SURCHARGE " r(/��4 1 $ 26.00 <br /> Total for this Invoice $ 26.00 <br /> _\ Payment Due Date 3/8/2015 <br /> 31 TOTAL DUE this Billing Period $ 292.00 <br /> kc <br /> `( PAYMENT <br /> +a <br /> �l I ��' \ RECEIVED <br /> 9! �.� MAR 0 2 2015 <br /> r <br /> qc / SAN JOAQUIN COUNTY <br /> iga G ENVIRONMENTAL <br /> HEALTH DEP ENT <br /> :R: <br /> &L /k:y <br /> res <br /> IPF �\\ <br /> 'ror <br /> Nat <br /> 'ayi <br /> 1EF <br /> ;oMl 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 HMBP Fees For all SERVICE FEES <br /> at the Rate of 1000%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 thereafte <br />