Laserfiche WebLink
SAN JOAOUIN COUNTY PUBLI` �ALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0016006 <br /> FA0009006 <br /> Facility ID <br /> Date Printed 1/31/01 <br /> JACK LABERGE RE : BRUCE&JACK AUTOMOTIVE <br /> BRUCE&JACK AUTOMOTIVE 12 E POPLAR ST <br /> <br /> OWNER: JACK LABERGE <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0079578—Date of Invoice: 1130101 <br /> 1/30/2001 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $ <br /> Payment Due Date 3/212001 <br /> TOTAL DUE this Billing Period U <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 /> PAYMENT <br /> RECEIVED <br /> FEB 2 12001 <br /> SAN JOAOII`d COUNTY <br /> Pu 11s �'-,.Ices <br /> ENVIi,' i i �i =; r GiISION <br /> 5255.rpt <br />