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SAV 1�,�, AUUIN COUNTY PUBLIC "EALTH SERVICES Report 15255 <br /> j4NVQNMENTAL HEALTH DIVI 1N St,_ _,nent Printed : 05/28/99 <br /> 304 E WEBER AVENUE — 3RD Pc00R <br /> STOCKTON, CA 95202 <br /> Accounting Office : 209 468-3420 <br /> S n v o 3 c P <br /> TO : UNIVERSITY OF THE PACIFIC — PH <br /> 3601 PACIFIC AVE Account # 0017511 <br /> STOCKTON , CA 95204 <br /> ATTN : DERREL HOUDASHELT Facility ID 010511 <br /> RE : UNIVERSITY OF THE PACIFIC — PHARMAC <br /> 751 W BROOKSIDE RD <br /> STOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice IF 057630 -- Date of Invoice: 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $18 . 50 <br /> ------------------------------------- <br /> Total for this invoice: $18.50 <br /> Payment DUE DATE 06/20/99 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> Invoice # 059834 -- Date of Invoice: 65/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> 05/18/99 2220 SM HW GEN (5 TONS/YR $100 . 00 <br /> ------------------------------------- <br /> Total for this invoice: $110.00 <br /> Payment DUE DATE 06/20/99 <br /> If this INVOICE has been Paid, Please Oisregard this Notice <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Pervits be added at the rate of 11% 61 days <br /> at the rate of 111% of the Base Fee 31 past invoice date and each 31 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period : $128.50 <br /> Please make Checks PAYABLE to: PHS/EHDPAYMENT <br /> RECEIVED <br /> JUL 21,9919 <br /> SAN JOAOUIN COUNTY <br /> PUBLIC Y SALTY.SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br />