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SKN JOAQUIN COUNTY ENVIRO TAL HEALTH DEPARTMENT <br />304 E WX]BEFrAVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br /> <br /> <br /> <br />• Page 1 <br />Account ID AR0002341 <br />FA0002327 <br />Facility ID <br />Date Printed 2/6/2002 <br />RE: STOCKTON GOLF & COUNTRY CLUB <br />3800 COUNTRY CLUB BLVD <br />STOCKTON CA 95204 <br />OWNER: STOCKTON GOLF & COUNTRY CLUB <br />Health <br />Date Program Description Hrs Employee Amount <br />Invoice # IN0091247 — Date of Invoice : 1122/2002 <br />1/22/2002 2220 SM HW GEN <5 TONSNR <br />1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />5255.rpt <br />$200.00 <br />$17.50 <br />Total for this Invoice $217.50 <br />Payment Due Date 002 <br />TOTAL DUE this Billing Period $217. <br />Please make Checks PAYABLE to: PHS/EHD / Returns 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 and each 30 thereafter <br />MAR 12002 <br />SAN JOAUUiN COUNTY <br />"�I IC II°nL?r^VSVICES <br />,r,.'lnf <br />