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!;AN JOAOUIN COUNTY PUBLIC -ALTA SERVICES <br /> ENVIRONMENTAL HEALTH DIVIIII!IfON NOW Page 1 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209465-3420 <br /> INVOICE Account ID AR0016750 <br /> FA0009750 <br /> Facility ID <br /> Date Printed 1/31/01 <br /> ARTHUR C GUSTAFSON RE : ART'S AUTO WRECKING INC <br /> ART'S AUTO WRECKING INC 4223 CLARK DR <br /> 4223 CLARK DR STOCKTON CA 95215 20 <br /> STOCKTON CA 95215 <br /> OWNER: ARTHUR C GUSTAFSON <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# INOOSO103---Date of Invoice: 1130101 <br /> 1/30/2001 2220 SM HAT GEN<5 TONS/YR 5100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for[his Invoice $110.00 <br /> Payment Due Date 312/2001 <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / <br /> Return a Co of This STATEMENT it <br /> Copy 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 and each 30 thereafter <br /> PAYMENT <br /> RECEIVED <br /> FEB 0q 2001 <br /> SAN JOAO�,- VUN fy <br /> PUSUC HEALTH ICES <br /> ENVIRONMENTAL ALAI TH.DIVISION <br /> 5255.rpt <br />