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Page i <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF �.,/ <br /> 304 E WEBER AVE -3RD FLOOR r <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0016391 <br /> FacllitylD FA0009391 <br /> Date Printed 2/5/2004 <br /> AMESSA AUTOMOTIVE CNTR RE : AMESSA AUTOMOTIVE CNTR <br /> 3943 N WEST LN <br /> 3943 N WEST LN STOCKTON, CA 95204 <br /> STOCKTON, CA 95204-2435 <br /> OWNER : MARK ALZAMMAR <br /> Health Amount <br /> Date Program Oescdption ---- <br /> Invoice# IN0115644—Date of Invoice : 2/4/2004 $ 200.00 <br /> 2/4/2004 2220 SM HW GEN<5 TONSNR $ 85.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 24.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> Total far this Invoice $ 309.00 <br /> Payment Due Date 3/612004 <br /> TOTALDs Billing Period $ 309.00 <br /> REC IVED <br /> MRR ? - 2004 <br /> SAN JOAOUIN COUNTY <br /> ENVIRONMENTAL <br /> HF�TH OEPARTM-NT <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> EaIt <br /> es will be added to atl Permit Fees For OES/HMMP Feest <br /> te <br /> For all SERVICE FEES <br /> e Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% 60 Days afterlthe Invo ce Date andteach 30 Days thereafter <br /> 30 Days after the Due Date 45 Days after the Invoice Date <br /> 52i5.rpt <br />