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• Page 1 <br /> • SAN,JOAOUIN COUNTY PUBLIALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIV ION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> Accountll) AR0016965 <br /> INVOICE FA0009965 <br /> Facility ID <br /> Date Printed <br /> 1131101 <br /> RE : BARNES TRUCKING INC <br /> DAVID BARNES 1817 S FRESNO AVE <br /> BARNES TRUCKING INC STOCKTON CA 95206 20 <br /> 1817 S FRESNO AVE <br /> STOCKTON CA 95206 OWNER,. DAVID BARNES <br /> Health Hrs Employee <br /> Amount <br /> Date Program Description <br /> Invoice# IN008027a...Date of Invoice: 1130101 $100.00 <br /> SM HW GEN<5 TONSIYR $10.00 <br /> 1130/2001 2220 - <br /> 113012001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE Totalfor this Invoice <br /> Payment Due Date 1212001 <br /> TOTAL DUE this Billing Period $ <br /> 110.00 <br /> Return a Copy of This STATEMENT with Your PAYMENT <br /> Please make Checks PAYABLE to: PHS/EHD 1 For all SERVICE FEES <br /> Penalties will be added to all Permit Fees Penalties will be added at the Rate of 10 <br /> Fat the Rate of 100%of the Base Fee 60 Days after the Invoice Data and each 30 thereafter <br /> 30 Days after the Due Date <br /> PAYMENT <br /> RECEIVED <br /> MAR 2 2 2Nl <br /> SAN JOAOU'N COUNTY <br /> ENV R�ONMENTA�jHEA�THICES <br /> pNIS1pN <br /> 5255.rpi <br />