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SAN JOAOUIN COUNTY PUBLIC LTH SERVICES Page 1 <br /> = -ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE AccountlD AR0016930 <br /> Facility ID FA0009930 <br /> Date Printed 1/31/01 <br /> <br /> <br /> <br /> <br /> OWNER: BOB R ANDERSEN <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# I40086252--Date of Involce: 7130101 <br /> 1/30/2001 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 1/3011001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 312E <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PA) T <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.rpt <br />