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SAN JOAOL'fN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM' <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0017939 <br /> Facility ID FA0010939 <br /> Date Printed F 4/23/2003 <br /> MARIO'S AUTO REPAIR RE : MARIO AUTO REPAIR <br /> <br /> STOCKTON, CA 95205 <br /> OWNER : MARIO M PEREZ <br /> Date Health <br /> Program Description Amount <br /> Invoice# IND103926---Date of Invoice : 2/27/2003 <br /> 2/27/2003 2220 SM HVV GEN<5 TONSNR $ 200.00 <br /> 2/27/2003 2244 PACT TRANSFER RECORD-OES $ 85.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> 4/15/2003 9987 Haz Mat Program Penalty Fee S 8.50 <br /> Total for this Invoice $ 311.00 <br /> Payment Due Date 3/29/ <br /> TOTAL DUE this Billing Period $ 311.00 <br /> 4V <br /> 3 � / - 'e7� <br /> PAYMENT <br /> RECEIVED <br /> APR 2 3 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <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 /> ml <br />