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SAN JOAQUIN COUNTY PUBLILTH SERVICES . Page 1 <br /> ENVIRONMENTAL HEALTH DI ON <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0016975 <br /> LOMMUNNOMMMI <br /> FA0009975 <br /> Facility IDLMEMMOMMEMENA <br /> Date Printed ?✓20/01 <br /> LEMOMMOMMMENIA <br /> ANNE GAUTHIER RE : WINSTON TIRE CO#183 <br /> WINSTON TIRE CO#183 1648 E HAMMER LN <br /> 900 W ALAMEDA AVE STOCKTON CA 95210 20 <br /> BURBANK CA 91506 OWNER : OLIVER&WINSTON <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# INOOS0287--Date of Invoice: 1/30/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONSNR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 3/ <br /> TOTAL DUE this Billing Period 110.0 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will e added to all Permit Fees Fora E F <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 2 0 2001 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HELTH SERVICES <br /> ENVIRONVETAL HEALTH DIVISION <br /> 5255.rpt <br />