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'SAN .IOAOIJIN COUNTY PIJRIAC ` /LTH SERVICES <br />F.NV'IRONMENTAL IREALTH Divi, ON <br />304 F. WEBER AVE - 3RD FLOOR <br />STOCKTON. CA 95202 <br />209-468-3420 <br />INVOICE <br />TERRILL TRANSPORTATION <br />PO BOX 1285 <br />LODI CA 95241 <br />_ Health._ <br />Date Program Description <br />Invoice # IN0080824... Date of Invoice : 1/30/01 <br />1/30/2001 2220 SM HW GEN <5 TONS/VR <br />1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />5255 rpl <br />Page 1 <br />Account ID AR0017621 <br />FA0010621 <br />Facility ID <br />Date Printed 2126/01 <br />RE: TERRILL TRANSPORTATION <br />2459 MARIPOSA RD <br />STOCKTON CA 95205 20 <br />OWNER: TERRILL, KEVIN S <br />Hrs Emolovee Amount <br />$100.00 <br />$10.00 <br />Total for this Invoice $110.00 <br />Payment Due Date <br />ar; TOTAL DUE this Billing Period $110.00 <br />Please make Checks PAYABLE to : PHS/EHD / Return a Copy of'l'his 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 />MAR 1 6 2001 <br />SANJO <br />Pl;3i <br />EUV; (, :' <br />