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SAN JOAO'UIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE Account11-AR-00-17029 <br /> Facility IDF-FA-00-1 002 <br /> Date Printe 6/22/00 <br /> WILLIAM COSBIE RE: DELTA MARINE ENGINE INC <br /> DELTA MARINE ENGINE INC 14900 W HWY 12 <br /> <br /> OWNER: WILLIAM COSBIE <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0070576---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 - <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 /> F'A41 DUIE? <br /> WE WUtJLU APPRLCIATE YUUR <br /> PAYMENT TOnAYi <br /> 5JS5 ml <br />