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`.SAN JOAOUIN COUNTY <br />f ENVIRONMENTAL HEALTH DEPS ENT <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON. CA 95202 <br />Phone: 209-468-3420 <br />INVOICE <br />LOVES COUNTRY STORES OF CA <br />LOVES COUNTRY STORE <br /> <br /> <br />Page 1 <br />Account ID AR0020960i <br />Facility ID FA0012659 <br />Date Printed 7/23/2002 <br />RE: LOVES COUNTRY STORE <br />1510 JACK TONE RD <br />RIPON CA 95366 <br />OWNER: LOVES COUNTRY STORES OF CA <br />Health <br />Date Program Description Hrs Employee Amount <br />Invoice # IN0097321 --- Date of Invoice : 6/28/2002 <br />6/28/2002 2220 SM HVV GEN <5 TONS/YR <br />Total for this Invoice $200.00 <br />Payment Due Date 8/22/2002 <br />TOTAL DUE this Billing Period 200. <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 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 />�// a_ /a/3i/p:)- <br />PAYMENT <br />RECEIVED <br />JUL2 32002 <br />SAN COUNTY <br />PUBLICO HEOALTH SERVICES <br />ENVIRONMENTAL HEAiJH DIVISION <br />5255. rpt <br />