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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTIl • <br /> 304 E WEBER AVE- 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Accountlp AR0023182 <br /> LUMMMMMMMMMA <br /> Facility IC FA0 0-13-7 8-9 <br /> Date Printed9/24/2002 <br /> IMOGENE BOWMAN RE : BOWMAN, IMOGENE <br /> BOWMAN, IMOGENE 955 WHITE LN <br /> 956 N AVALON DR STOCKTON, CA 95215 <br /> STOCKTON, CA 95215 <br /> OWNER : BOWMAN, IMOGENE <br /> Date Health Amount <br /> Program Description <br /> Invoice# IN0096965—Date of Invoice: 6/14/2002 <br /> 6/14/2002 2301 UST STATE SURCHARGE $ 10.00 <br /> 6/14/2002 2362 UST FACILITY&1 TANK $ 500.00 <br /> 6/14/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> 6/14/2002 9900 UST TANK FEES $ 500.00 <br /> 6/14/2002 9900 UST TANK FEES $ 170.00 <br /> 6/14/2002 9900 UST TANK FEES $ 170.00 <br /> 6/14/2002 9900 UST TANK FEES $ 170.00 <br /> 6/14/2002 9900 UST TANK FEES $ 170.00 <br /> 6/14/2002 9904 UST PENALTIES(TANK) $ 170.00 <br /> 6/14/2002 9904 UST PENALTIES(TANK) $ 170.00 <br /> 6/14/2002 9904 UST PENALTIES(TANK) $ 170.00 <br /> 6/14/2002 9904 UST PENALTIES(TANK) $ 500.00 <br /> 6/14/2002 9904 UST PENALTIES(TANK) $ 170.00 <br /> 6/14/2002 9994 PERMIT FEE PENALTY $ 500.00 <br /> 6/18/2002 9999 PAYMENT ($ 100.00) <br /> 7/24/2002 9999 PAYMENT ($ 100.00) <br /> 8/7/2002 9999 PAYMENT ($ 100.00) <br /> 9/9/2002 9999 PAYMENT ($ 100.00) <br /> Total for this Invoice $ 2,987.50 <br /> Payment Due Date 9/29/2002 <br /> TOTAL DUE this Billing Periodl $ 2,987.50 <br /> PAYMENT <br /> RECEIVED <br /> OCT - g 2002 <br /> SAN JOAQUIN - <br /> PUBLIC HEALT'r <br /> Please make Checks PAYABLE to: 'EHD' - Return a Copy of This STATEMENT V66 PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due C- 60 Days afte Invoice Date and each 30-Days thereafter <br /> 5255.rpt <br />