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-SAN 3OAQUIN COUNTY PUBLIC HEAT TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISI%00� <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account l AR0017813 <br /> 71 <br /> Facility I FA00108 3— <br /> Date Printed4!25/00 <br /> GURJIT BASSI RE: G&S TRUCK WASH RIPON <br /> G&S TRUCK WASH RIPON 816 FRONTAGE RD <br /> PO BOX 3 RIPON CA 95366 <br /> RIPON CA 95366 OWNER: GURJIT BASSI <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0071221 —Date of Invoice: 4/19100 <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 ;42900 <br /> TOTAL DUE this Billing Period 0.00 <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 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 eadi 30 thereafter <br /> PAYMENT <br /> RECEIVED <br /> M5 20 <br /> SAN JOAQUIN COUWy <br /> PUBUC HEALTH SERVKX* <br /> ENVIRONMENTAL HEAI.tH nN131t7N <br /> 5255.rpt <br />