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SAN JOAOUIN COUNTY PUBLIJOALTH SERVICES • Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE Account ID AR0021499 <br /> FA0012811 <br /> Facility ID <br /> Date Printed F 4/24/01 <br /> DICK GUTHRIE RE : J&D AUTO BODY INC <br /> J&D AUTO BODY INC 400 N CLUFF AVE#A <br /> 400A N CLUFF AVE LODI CA 95240 <br /> LODI CA 95240 <br /> OWNER: GUTHRIE,DICK A <br /> Health <br /> Date Program Description - Hrs Employee Amount <br /> — <br /> Invoice# IN0082786—Date of Invoice: 4/10/01 <br /> 4/10/2001 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/10/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Totalfor this invoice $110.00 <br /> Payment Due Date 5124/2001 <br /> TOTAL DUE this Billing Period '$110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Retum a Copy of This STATEMENT with Your PAYMEN <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 /> PAYMENT <br /> RECEIVED <br /> MAY 2 1 2001 <br /> PUBLIC HEEN TH S RVICES <br /> ENVIRONMEi11A1 HEW H CIVISION <br /> 5255.rpt <br />