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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART IT <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0016959 <br /> Facility ID FA0009959 <br /> Date Printed 1/24/2005 <br /> JUAN'S AUTO REPAIR RE : JUAN'S AUTO REPAIR <br /> 1145 S AURORA ST 1145 S AURORA ST <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : JUAN O MORGA <br /> Date Health <br /> Program Descriotion Amount <br /> Invoice# IN0128153---Date of Invoice : 1/24/2005 11111 11111 hil 11111 1111 111111 11111111 IN <br /> 1/24/2005 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 300.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 524.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 524.00 <br /> PAYMENT' <br /> RECEIVED <br /> FEB 1 6 2005 <br /> SAN JOAQUIN COUNTY <br /> ENVIP(!NMF_NIAL <br /> HEALTH DEPARTMENT <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 /> ,2;; rpt <br />