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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM • Page 1 <br /> 304 EVEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0016618 <br /> Facility ID FA0009616 <br /> LEEMMMMMUMMEN <br /> Date Printed 2/27/2003 <br /> FOOD EXPRESS INC RE : FOOD EXPRESS INC <br /> <br /> LATHROP, CA 95330 <br /> OWNER : WALTER KEENEY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0103535--Date of Invoice: 212712003 <br /> 2/27/2003 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 360.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoicel $ 577.50 <br /> Payment Due Date 103 <br /> TOTAL DUE this Billing Period $ 577.50 <br /> \ i <br /> PAYMENT <br /> RECEIVED <br /> MAR 12 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC ICES <br /> ENVIRONMEN ALLTH HEALTH DIVISION <br /> Please make Checks PAYABLE to: '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 each 30 Days thereafter <br /> 5255.mt <br />