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SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209465-3420 <br /> INVOICE Account! AR0017231 <br /> Facility I FA0010231 <br /> LUMOMMEMMMEWAM <br /> Date Printe 5/30/00 <br /> BILL BROCK RE: US RENTALS INC <br /> US RENTALS INC(STKN) 2081 E CHARTER WAY <br /> 2061 E CHARTER WAY STOCKTON CA 95205 20 <br /> STOCKTON CA 95205 OWNER: US RENTALS INC <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0070751---Date of Invoice: 4119/00 <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 6/29/2000 <br /> i <br /> TOTAL DUE this Billing Period1\' s116.55 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYIIIENT— –�� <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/0% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> !4`j,o,.T 1,Y!F";Im 1�y <br /> RECEIVED <br /> MAV 3 ®2W® <br /> SAN JORVIJIN COUNTY <br /> "1J6Lr +.=_,I,I'H SEFIVICF_S <br /> NVIRONN;,b.fAL HEA!.TH UIVISIOi <br /> .5755 m1 <br />