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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0017164 <br /> Facility ID FA00 0-164 <br /> LUMENOMMMMMMMMS <br /> Date Printed 1/24/2005 <br /> ACE ARMATURE & MOTOR SHOP INC RE : ACE ARMATURE & MOTOR SHOP INC <br /> <br /> STOCKTON, CA 95203 <br /> OWNER : GUTSCHE, LANCE <br /> Date Health <br /> Program__ _ Description Aoiount <br /> Invoice# IN0128226---Date of Invoice: 1/24/2005 11111111111111111111 IN 1111111111111111111 <br /> 1/24/2005 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 315.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoicel $ 539.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 539.00 <br /> REc�Eo <br /> FEB 2 3 2p05 <br /> SH �N 4 aTM N <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 /> rpt <br />