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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DT N Page 1 <br /> 304 E WEBER AVE-3RD FLOOR�°� `--� <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I AR0016886 <br /> Facility 14 LUMONNNENMMJ <br /> FA0009886 <br /> LMEMMEMONOMON <br /> Date Printe 4/25/00 <br /> JONATHON CROOKS RE: ACE OIL CO <br /> ACE OIL CO 20 S CLUFF AVE <br /> 20 S CLUFF AVE LODI CA 95240 <br /> LODI CA 95240 <br /> OWNER: JOHN CROOKS <br /> Health <br /> Date Program Description Him Employee Amount <br /> Invoice# IN0070461 ---Date of Invoice: 4/19/00 <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 5/2512000_ l <br /> TOTAL DUE this Billing Period 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 SER VICE 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 /> MAY 2 20 <br /> SAN JOAQUN COUN <br /> eNV1�BUC Ty <br /> HEALTH SERUKU <br /> RONMENTAI-8E474 <br /> 5255.rpt <br />