Laserfiche WebLink
SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMf# • <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0023182 <br /> FacilityID FA0013789 <br /> LWONUMMMEMMOMM <br /> Date Printed 12/19/2002 <br /> LOMONNNOMMMMMMA <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 /> Dare 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 IS 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 /> 10/10/2002 9999 PAYMENT ($ 100.00) <br /> 11/6/2002 9999 PAYMENT ($ 100.00) <br /> 12/13/2002 9999 PAYMENT ($ 100.00) <br /> Tots)roi this Invoice/ $ 2,667.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $I 2 <br /> #. <br /> PAYMENT <br /> RECEIVEC y <br /> JAN S 2003 l� <br /> Sarl„ uanr. <br /> r <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 all SERVICE FEES <br /> at the Rate of 100°/of the Base Fee Penalties will be added at the Rale of 10% <br /> 30 Days after the Due Dat 60 Days after the voice Date and each 30 Days thereafter <br /> 5255.rpt <br />