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SAN JOAQUIN COUNTY PUBLIr—FALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DI�—�ON <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account IDAR0016124 <br /> FA0009124 <br /> Facility ID LU <br /> Date Printed2/14/01 <br /> LMMMMOMMMMMA <br /> MICHAEL PHELAN RE : GEWEKE FORD MERCURY JEEP EAGL <br /> GEWEKE FORD MERCURY JEEP EAGLE 1045 S CHEROKEE LN <br /> PO BOX 1210 LODI CA 95240 20 <br /> LODI CA 95241 OWNER : DARYL GEWEKE <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0079665---Date of Invoice: 1/30/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice 110.00 <br /> Payment Due Date 2001 1 <br /> TOTAL DUE this Billing Period i110.00) <br /> 10.00 / <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMEN7--� <br /> Pen aeswl 11 bea a toa Bend ees Fora <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 /> RECEIVED <br /> FEB 14 2001 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTD SEPVIGES <br /> ENVIRf1NFA�dI AI Hl AI1H DIVISION <br /> 5255.rpt <br />