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SAN JOAOUIN COUNTY PUBL t --<,__.LTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON. CA 95202 <br />209-468-3420 <br />INVOICE <br />6/ar� SheaV-t-1 <br />LIC DEPT <br />WALMART #1554 <br />DEPT 8013 <br />BENTONVILLE AR 727168013 <br />Page 1 <br />Account ID AR0009046 <br />FA0006687 <br />Facility ID <br />Date Printed 1/31/01 <br />RE: WALMART #1554 <br />3702 E HAMMER LN <br />STOCKTON CA 95212 <br />OWNER: WALMART, INC <br />Health <br />Date Program Description Hrs Employee Amount <br />Invoice # IN0079261 --- Date of Invoice : 1130101 <br />1/30/2001 2220 SM HW GEN <5 TONS/YR $100.00 <br />1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br />Total for this Invoice $110.00 <br />Payment Due Date 3/2/2001 <br />TOTAL DUE this Billing Periodl $110.00 <br />Please make Checks PAYABLE to: PHSIERD / Return a Copy of This STATEMENT with Your PAYMENT <br />Penalties will be added to all Permit Fees For all SERVICE FEES <br />at the Rate of 100% of the Base Fee Penalties will be added at the Rate of 10 <br />30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br />PAYMENT <br />RECEIVED <br />FEB 2 0 2001 <br />5255.rpt <br />