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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART" NT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0031987 <br /> Facility ID FA0018188 <br /> Date Printed 2/6/2007 <br /> SANDOVAL, HUMBERTO RE : A ONE AUTOMOTIVE REPAIR <br /> A ONE AUTOMOTIVE REPAIR 321 N STANISLAUS ST <br /> <br /> <br /> OWNER : SANDOVAL, HUMBERTO <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0159826---Date of Invoice: 2/6/2007 V I I I II VII II V I V I V I VI I VI I VIII V I I I A 111II Ip1 III <br /> 2/6/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> Total for this Invoicel $ 206.00 <br /> Payment Due Date 3/8/2007 <br /> TOTAL DUE this Billing Period $ 206.00 <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 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 /> Zit qn <br />