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SAN JOAQUIN COUNTY <br /> ENVIRONMEv i Ai- HEALTH DEPARTMr Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0016391 <br /> Facility ID FA0009391 <br /> Date Printed F 3/27/2003 <br /> lumonomommommmms <br /> AM ESSA AUTOMOTIVE CENTER RE : AMESSA AUTOMOTIVE CNTR <br /> 3943 N WEST LN 3943 N WEST LN <br /> STOCKTON, CA 95204-2435 STOCKTON, CA 95204 <br /> OWNER : MARK ALZAMMAR <br /> Date Health <br /> Hrogram Description Amount <br /> Invoice# IN0103440---Date of Invoice : 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 85.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoicel $ 302.50 <br /> Payment Due Date 3/29/2aQ <br /> TOTAL DUE this Billing Period $ 302.50`' <br /> PAYMENT <br /> RECEIVED <br /> APR 1 5 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 /> Cep'. <br />