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SAN JOAOUIN COUNTY PUBLIC Iv.i,TH SERVICES Page 1 <br /> ENVIRONMFNTAI,HEALTH DIVISION <br /> 304 F.WEBER AVE,-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE Account ID AR0016078 <br /> FA0009078 <br /> Facility ID <br /> Date Printed 2/26/01 <br /> CURTIS FREIH RE: FREIH'S AUTO REPAIR <br /> FREIH'S AUTO REPAIR 916 BLACK DIAMOND WAY#B <br /> 916 BLACK DIAMOND WAY#B LODI CA 95240 <br /> LODI CA 95240 OWNER: CURTIS FREDI <br /> Health - <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0079631 —Date of Invoice: 1/30/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONSNR $100.00 <br /> 1/3012001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 3 00 <br /> TOTAL DUE this Billing Periodl 110.00 <br /> Please make Checks PAYABLE to : PHS/EHD / Return a Copy of This STATEMENT with Your PAYM16T- <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 /> 5255.rpf <br />