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' SAN JOAOUIN COUNTY PUBLIC WLTH SERVICES . Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE AccountlD AR0017845 <br /> FA0010845 <br /> Facility ID <br /> Date Printed 2/1101 <br /> AGE RE <br /> 881 N SHAW RD <br /> DR#400 STOCKTON CA 95215 <br /> 8 OWNER: ROLLINS LEASING CORP <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0081005—Date of Invoice: 1130101 <br /> 1/30/2001 2220 SM HW GEN<5 TONSNR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoicel $110.00 <br /> Payment Due Date 12001. <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Returns Copy of This STATEMENT with Your PAYME <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 /> PAYMF-N1 V <br /> R E C <br /> MAR 12 2001 <br /> ENVIRONMENTAL HEALTH D V SION <br /> O 'k <br /> �f#lyy <br /> Sv <br /> vv D <br /> into. <br /> 5255.rpt <br />