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JAN JUAUU1N t.;UUN I Y Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMEI* <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE AcwuntID AR0028741 <br /> Facility ID FA0016351 <br /> Date Printed1/30/2006 <br /> MELVIN ROUSH RE : VALLEY VINEYARD & ORCHARD SUPPLY <br /> VALLEY VINEYARD & ORCHARD SUPPLY 420 N SACRAMENTO ST <br /> LODI, CA 95240 <br /> <br /> OWNER : ROUSH, MELVIN D <br /> Date Hth Amount <br /> Peal <br /> rogram Description <br /> Invoice# IN0144730--Date of invoice: 1/2712006 IIIIIIIIIIIIIIII VIII VIII VIII VIIIIIIIIIIII VIIIIIIIIIIII IIIIIIIIIIIII IIIIIIII <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 3/112006 <br /> TOTAL DUE this Billing Period $ 224.0 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 2 2006 <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 OES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%,of the Base Fee Penettles 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 /> 5M4.rpt <br />