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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTr 'T <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209)468-3420 <br />INVOICE <br />MAXIM CRANE WORKS <br /> <br /> <br />Page 1 <br />Account IDAR0016394 <br />Facility ID FA0009394 <br />Date Pnnted 2/15/2005 <br />RE: MAXIM CRANE WORKS <br />2373 MARIPOSA RD <br />STOCKTON. CA 95205 <br />OWNER: ANTHONY CRANE RENTAL, L P <br />Date Health <br />Program Description Amount <br />Invoice # IN0129910 --- Date of Invoice : 1/24/2005 <br />1/24/2005 2220 SM HW GEN <5 TONS/YR <br />1/24/2005 2244 2005 HAZMAT FEE <br />1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />I IIIIIII VIII) III VIII VIII VIII VIII VIII VIII VIII VIII <br />VIII IIII <br />$ <br />IIIIII VIII IIII IIII <br />200.00 <br />$ <br />345.00 <br />$ <br />24.00 <br />Total for this Invoice I <br />$ <br />569.00 <br />Payment Due Date <br />2/23/2005 <br />$ <br />5 0 <br />TOTAL DUE this Billing Periodl <br />PAYMENT <br />RECEIVED <br />FEB 1 4 20bo <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 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 />?ii rpt <br />