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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 AR00 2-858 <br /> LMMMEMMENMEMMIll <br /> Facility ID FA000328 <br /> <br /> 6/17/2005 <br /> LAL JOGINDER RE : EAST FREMONT FOOD MART& GASOLINE <br /> EAST FREMONT FOOD MART & GASOLINE 2185 E FREMONT ST <br /> 1756 N WILSON WAY STOCKTON, CA 95205 <br /> STOCKTON, CA 95205 <br /> OWNER : LAL,JOGINDER <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0134731 —Date of Invoice: 6/1712005 11111111111111111111 IN 111111111111111 IN <br /> 6/17/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> Total forth is Invoice $ 200.00 <br /> Payment Due Date 7/17/2005 <br /> TOTAL DUE this Billing Period $ 200.00 <br /> PAYMENT <br /> RECEIVED <br /> JUN 2 4 %" <br /> SAN JOAGO"i(711 INTY <br /> ENVIRO. %F <br /> HEALTH DEPNH hi)-.J <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 /> i2ii,rpt <br />