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SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON. CA 95202 <br />209468-3420 <br />INVOICE <br />MIKE LEITH RE: <br />CUSTOM FOOD MACHINERY INC <br /> <br /> OWNER: <br />Page 1 <br />Account ij AR0017158 <br />Facility ID FA0010158 <br />Date Printed 5/30/00 <br />LMOOMMOMMUMNA <br />CUSTOM FOOD MACHINERY INC <br />1881 E MARKET ST <br />STOCKTON CA 95205'20 <br />RON MCNIEL SR <br />Health <br />Date Program Description Hrs Employee Amount <br />Invoice # IN0070689 -- Date of Invoice : 4/19100 <br />4/19/2000 2220 SM HW GEN <5 TONSNR <br />4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />57.55 ml <br />8100.00 <br />$10.00 <br />Total for this Invoice $110.00 <br />Payment Due Date 6129@000 <br />TOTAL DUE this Billing Period $1� <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 />PP GE�N�O <br />P� 1pO0 <br />9�NG PN E SoN <br />SQU ���NP�HEP�'(��C11 <br />E�PONM <br />