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SAN JCAOUIN COUNTY PUBLIC 'ALTH SERVICES Page 1 <br /> �.r <br /> ENVIRONMENTAL HEALTH DI3`MON <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE AccountlD AR0016040 <br /> FA0009040 <br /> Facility ID Lmomommommummmmill <br /> Date Printed 1/31/01 <br /> DENNIS CUNNINGTON RE : BIG O TIRES#30 <br /> BIG O TIRES 302 N CHEROKEE LN <br /> 302 N CHEROKEE LN LODI CA 95240 20 <br /> LODI CA 95240 OWNER : DENNIS CUNNINGTON <br /> Health <br /> Date - Program Description - Firs Employee Amount <br /> Invoice# IN0079604---Date of Invoice: 1130101 <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 1z1zuu1 <br /> TOTAL DUE this Billing Periodh $110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <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 andeach 30 thereafter <br /> PAYMENT <br /> RECEIVED <br /> FEB 0 6 2001 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRO"ItirNTAL HEALTH DIVISION <br /> 5255.rpt <br />