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SAN JOAQUIN COUNTY <br /> ENVIRCNMrf:TAL HEALTH DEPARTF 'T Page 1 <br /> 304 E WEBER AVE - 3RD FLOUR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0016060 <br /> Facility ID FA0009060— <br /> Date Printed 1 2/27/2003 11 <br /> GLEN CAMPER RE : EARTH SHELTER <br /> EARTH SHELTER 412 S SACRAMENTO ST <br /> <br /> <br /> OWNER : CAMPER, GLEN <br /> Date Health <br /> Prporam Description Amount <br /> Invoice# IN0103291 ---Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 217.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ 217.50 <br /> RECE VN <br /> E(� <br /> MAR 5 2003 <br /> SAN <br /> jj/jV CO <br /> ENVIRONMENAQ H A14VpI EISV <br /> Please make Checks PAYABLE to: 'EHD' - Return a Copy of This STATEMENT with Your PAYMEV tv <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 Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.ipt A <br />