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ENVIRONMENTAL HEALTH DEPARTMENT <br />600 E MAIN STREET <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br /> <br /> <br /> <br />Account ID <br />AR0030305 <br />Facility ID <br />FA0017423 <br />Date Printed <br />2/10/2009 <br />RE: VANDER MEULEN FARMS <br />12784 CARROLTON RD <br />ESCALON, CA 95320 <br />OWNER: VANDER MEULEN FARMS <br />Date Health <br />Program Description Amount <br />Invoice # IN0187328 -- Date of Invoice : 2/10/2009 <br />2/10/2009 2220 SM HW GEN <5 TONS/YR <br />11II111I1I1I1IIIVIIIVIIIVIIIVII111111 EIIIIIIIIIIIIIII1111111111V11111111111 <br />$ 213.00 <br />Total for this Invoice $ 213.00 <br />Payment Due Date 3/12/2009 <br />TOTAL DUE this Billing Period $ 213.00 <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 thereafte <br />�2)4.rpt <br />