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SARI JOAQUIN COUNTY PUBLIC HEP' -I SERVICES <br />ENVIRONMENTAL HEALTH DIVISI),� <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, -CA 95202 <br />209-465-3420 <br />TERRILL TRANSPORTATION <br />PO BOX 1285 <br />LODI CA 95241 <br />INVOICE <br />Page 1 <br />Account I AR0017621 <br />Facility I FA0010621 <br />Date Printed4/25/00 <br />RE: TERRILL TRANSPORTATION <br />2459 MARIPOSA RD <br />LODI CA 95241 <br />OWNER: TERRILL, KEVIN S <br />Health <br />Date Prngram nescrlrttlon Hrs Fmnlnyee Amount <br />Invoice # IN0071066 -- Date of Invoice : 4119100 <br />4/19/2000 2220 SM HW GEN <5 TONSNR $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 5/25 00 <br />TOTAL DUE this Billing Period 5110.00 <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 />jog 7 2004 <br />COUTY <br />SAN JOA[O,AU,, SERh.'c ES <br />PU6LIC' LTHDNISION <br />ENVIRONMENTAL HEA <br />5255.rpt <br />