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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMO • <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (299) 468-3420 <br /> INVOICE Account ID AR0017342 <br /> Facility ID FA0010 442 <br /> Date Pnnted 2/5/2004 <br /> LUMOMMMMMMOMWI <br /> <br /> <br /> MANTECA, CA 95337 <br /> OWNER : FRANCESLEE <br /> DaL Health Amount <br /> Program Description <br /> Invoice# It.:i115989—Date of invoice: 2/4/2004 <br /> 2/4/2•-= 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 2/4/2:-= 2244 2004 HAZMAT FEE $ 255.00 <br /> 2/4/20-_ 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> _ <br /> Total for this Invoice $ 479.00 <br /> Payment Due Date 31612004 <br /> TOTAL DUE this Billing Period $ i 479.00 <br /> REC IV ED <br /> MAR 5 Z04 <br /> SA ENVIRONMEt4 ANN <br /> N�yTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' – Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties w1l be added to all Permit Fees For DES I HMMP Fees For all SERVICE FEES <br /> at the Razz 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 />