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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD F AR00-17-6 3-0 <br /> Facility ID FA0010630 <br /> INNEWMENNEMENNEW <br /> Date Printed 3/12/2007 <br /> LUCY NGUYEN RE : D & H AUTO TECH <br /> D & H AUTO TECH 720 E HAMMER LN STE D-10 <br /> <br /> <br /> OWNER : NGUYEN, LUCY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156925---Date of Invoice: 112512007 11111111111111111111 IN 11111111111 IN III <br /> 1/25/2007 2220 SM HV/GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoice $ 230.00 <br /> Payment Due Date 2/25 <br /> TOTAL DUE this Billing Period $ 230.06 <br /> PAYMENT <br /> RECEIVED <br /> MAR 12 200? <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <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 I 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 /> 5254.rpt <br />