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r <br /> SAN JOAOUIN COUNTY PUBLIC: LTH SERVICES ' Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209 <br /> AccountlD AR01-7971 <br /> LOWNINNININNOMMONA <br /> FA0010971 <br /> Facility ID <br /> Date Printed 211/01 <br /> RE : ALEXANDER'S QUICK LUBE <br /> ALEXANDER'S QUICK LUBE 808 S CHEROKEE LN <br /> 808 S CHEROKEE LN LODI CA 95240 20 <br /> LODI CA 95240 OWNER: LESLIE ALEXANDER <br /> Healm <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0081107-Date of Invoice: 1/30101 <br /> 1/30/2001 2220 SM HW GEN<5 TONSNR $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 13120 <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMEIVF- <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 /> PAYMENT <br /> RECEIVED <br /> FEB 2 12001 <br /> 5255.rpt <br />