Laserfiche WebLink
SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM"'IT <br /> 304 E WEBER AVE -3RD FLOOR �. <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account I AR0017939 <br /> LMMMMMOMMMMMEN <br /> Facility ID FA0090939 <br /> LONEEMEEMMMMOM <br /> Date Printed 1/30/2006 <br /> lionommmommmmmmms <br /> MARIO AUTO REPAIR RE : MARIO AUTO REPAIR <br /> <br /> STOCKTON, CA 95205 <br /> OWNER : PEREIZ, MARIO M <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143127—Date of Invoice: 1/27/2006 VIII IIIIVIIIiI VIVIII VIII VIII VIVIIIIIIIIIII VIII IIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE S 85.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 309.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 309.00 <br /> 3 1�1 <br /> (� 'FA 3 0`I <br /> C� s tN <br /> Mg9�cFMF�T <br /> 1%4/vhq °j ¢�00 <br /> h� /y°Fp9q��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 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[hereafter <br /> ,254 rpt <br />