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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 E MAIN STREET <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br /> <br /> <br /> <br /> <br />Page 1 <br />Account ID AR0036000 <br />Facility ID FA0620168 <br />Date Printed 9/16/2011 <br />RE: JESSES AUTOMOTIVE SERVICE <br />1830 E CHEROKEE RD <br />STOCKTON, CA 95205 <br />OWNER: MANCHA, JESSE JESUS <br />Total for this Invoice $ <br />Payment Due Date <br />TOTAL DUE this Billing Period $ <br />Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br />GVG.VV <br />1011612011 <br />...��.1. <br />Penalties will be added to all Permit Fees For CES 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 thereafte <br />i2;4.rpt <br />Health <br />Date <br />Proqram <br />Description <br />Amount <br />Invoice # IN0219434 --- Date <br />of Invoice : 9/16/2011 <br />11111111111111111111 IN �III <br />9/16/2011 <br />2220 <br />SM HW GEN <5 TONS/YR <br />S 213.00 <br />9/16/2011 <br />2399 <br />UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />S 24.00 <br />9/16/2011 <br />ERSC <br />ELECTRONIC REPORTING STATE SURCHARGE FEE <br />S 25.00 <br />Total for this Invoice $ <br />Payment Due Date <br />TOTAL DUE this Billing Period $ <br />Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br />GVG.VV <br />1011612011 <br />...��.1. <br />Penalties will be added to all Permit Fees For CES 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 thereafte <br />i2;4.rpt <br />