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SAN JOAQUIN COUNTY PUBLIC ALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH Drik�N <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209468-3420 <br /> INVOICE Account ID I AR0017511 <br /> FA0010511 <br /> Facility ID <br /> Date Printed3/27/01 <br /> DERREL HOUDASHELT RE : UNIVERSITY OF THE PACIFIC-PHAR <br /> UNIVERSITY OF THE PACIFIC-PHARMAC 751 W BROOKSIDE RD <br /> 3601 PACIFIC AVE STOCKTON CA 95211 20 <br /> STOCKTON CA 95204 <br /> OWNER: UNIVERSITY OF PACIFIC <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice 0 IN0080725—Date of Invoice: 1/30/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONSNR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $1000 <br /> Total for this Invoice $ <br /> Payment Due Date 3/2/2001 <br /> TOTAL DUE this Billing Period 110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMEN <br /> Penalties will be added to all Penult Fees or 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 /> RECEfVED <br /> MAR 2 7 2001 <br /> Wl BOAC.'-'A COUNTY <br /> PUBI Ir FLP HI SERVICES <br /> FWl,(JNr1ENiT!" HFni TH nivislOh <br /> 5255.rpt <br />