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SAN JOAQUIN COUNTY PUBLIC HF ' r.TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVIS%o4 r <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I AR0017623 <br /> LMMMOMMEMENA <br /> Facility I FA0010623 <br /> Date Printed 4/25/00 <br /> LONOMMMMMMA <br /> SAM TOY RE: SAM LUNG LAUNDRY INC <br /> SAM LUNG LAUNDRY INC 742 E MAIN ST <br /> 742 E MAIN ST STOCKTON CA 95202 <br /> STOCKTON CA 95202 OWNER: SAM TOY <br /> Health <br /> Date Prosem Description ---- -- - - - - Fors Employee Amount <br /> Invoice# IN0071067—Date of Invoice: 4119/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONS/YR $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 5125/2000 <br /> i <br /> TOTAL DUE this Billing Period 110.00 <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 each 30 thereafter <br /> t�Paki�g�yp^�,FF,Ttt^^'�. <br /> F1F CF--'V 1EG <br /> OW16 <br /> SAN JCA(XNN COUNTY <br /> Pt1"LIC HEALTH SERVICES <br /> FNVMONI-iFNrAL HFfiM r"MSIM1 <br /> 5255.rpt <br />