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JANJUAQUIN COUNTY ,4 <br /> ENVIRONMENTAL HEALTH DEPARTME" Page 1 <br /> 600 E MAIN STREET j <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID ARoo32553 <br /> a f <br /> Facility Io FA0018431 <br /> I <br /> I <br /> :Date Printed 12/23/2009 <br /> JI <br /> RAMIREZ, SIDNEY RE : NATIONAL CONSTRUCTION RENTALS INC # <br /> NATIONAL CONSTRUCTION RENTALS INC 12833 S MANTHEY RD <br /> 6833 32ND ST LATHROP, CA 95330 <br /> NORTH HIGHLANDS, CA 95660 <br /> OWNER : NATIONAL CONSTRUCTION RENTALS <br /> i <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0196193--Date of Invoice: 1112512009 IIIIIIII IIIIII IIIIIfII II111111111111111!11IIIIIl11111111U all fill 1111111111111111111 1 <br /> 11/25/2009 4244 PUMPER TRUCK <br /> $ 150.00 <br /> 11125/2009 . 4255 CHEMICAL TOILETS <br /> $ 60.00 <br /> Total for this Invoice $ 210.00 <br /> _ s <br /> is <br /> Payment Due Date 12130/2009 <br /> TOTAL DUE this Billing Period $ 210.00 <br /> C � r <br /> •P. I <br /> _ ]IF <br /> ` I <br /> A <br /> E <br /> ' Please make Checks PAYABLE to: 'EHD' Return a Copy of This STATEMENT with Your PAYMENT <br /> 'E Penalties will be added to all Permit Fees For OES 1 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 1 <br /> 5254.rpt <br /> i l <br />