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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMr T Page 1 <br /> 304 E WE3ER AVE - 3RD FLOOR ,i <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0017939 <br /> Facility ID F FA0010939 <br /> Dale Printed 1/26/2007 <br /> LMOMMMMEMMENNOOM <br /> MARIO AUTO REPAIR RE : MARIO AUTO REPAIR <br /> <br /> STOCKTON, CA 95205 <br /> OWNER : PERE!Z, MARIO M <br /> Date Health — — <br /> Program Description Amount <br /> Invoice# IN0156970---Date of Invoice: 1/25/2007 111111111111111111111 Hill111111111111111111111IIE11111All IIIIIfill 11111111111fill III <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR S 206.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 230.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 230.00 <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 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 /> -z4 rpt <br />