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AN JOAQUIN COUNTY PUBLIC HF s 1,TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVtf..� <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account 14--A—R-00-1—74-28 <br /> Facility I FA0010428 <br /> Date Printed5/19/00 <br /> LMOMMMOOMMOIS <br /> ACCOUNTS PAYABLE RE: IRIS USA INC <br /> IRIS USA INC 3021 BOEING WAY <br /> 1111180TH AVE STOCKTON CA 95206 20 <br /> PLEASANT PRAIRI WI 53158 OWNER: IRIS OHYAMA CORP <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0070910—Date of Invoice: 4119100 <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 1812000 <br /> 1 <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 he added to all Permit Fees For all SERVICE FEE <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'1MENT <br /> MAYA 929 <br /> SAN JOAOUIN COUNTY <br /> !'UBUC HEALTH SERVICER <br /> cNVIRON" TAS gEALTH p�;/IgrnN <br /> 5255.ipt <br />