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SAN JOAQUIN COUNTY PUBLIC HF ALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVIk,,,v \ <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I AR0017376 <br /> LEWNWOOMMOMMA <br /> Facility I FA0010376 <br /> Date Printed 4/25/00 <br /> LENNOMMOMEMMMA <br /> RALPH MC COOK RE: RANSOM PAINTING CO INC <br /> RANSOM PAINTING CO INC 606 S ANTEROS AVE <br /> PO BOX 1282 STOCKTON CA 95201 <br /> STOCKTON CA 95201 <br /> OWNER: TOM S RANSOM <br /> Health <br /> Date Program Description - - - - — - - ra- Empryee - - -- -- Amount <br /> Invoice# IN0070866—Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 5/25/2000 <br /> TOTAL DUE this Billing Period 110.00 <br /> Please make Checks PAYABLE to: PHS/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 /> C9t\'*M'M '4 E <br /> RE.CEIVEl'D <br /> MAY 8 20 <br /> SAN JOAQUIN GOUN?Y <br /> pUBUO HEALTH SERVIGES <br /> ENVIRONMENTAL HEALTH DIV191GN <br /> 5255.rpt <br />