Laserfiche WebLink
SAN JOAQUIN COUNTY PUBLIC&ALTH SERVICES • Page 1 <br /> ENVIRONMENTAL HEALTH DIV=bN <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0017067 <br /> FAO010067 <br /> Facility ID <br /> Date Printed3/23/01 <br /> TERRY MCGREGOR RE : JIFFY LUBE <br /> JIFFY LUBE 4715 N WEST LN <br /> 4715 N WEST LN STOCKTON CA 95210 20 <br /> STOCKTON CA 95210 <br /> OWNER: JIFFY LUBE <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0080366---Date of Invoice: 1/30/01 <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 Invoice $110.00 <br /> Payment Due Date 3/2/2001 <br /> TOTAL DUE this Billing Periodi $110.90 <br /> Please make Checks PAYABLE to: PHS/ERD / Return a Copy of This STATEMENT with Your DYM <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 /> MAR 2 3 2001 <br /> SAN JOAOL.'IN COUNTY <br /> PUBLIHEASERVICES <br /> ENVIRONMENTALLLH HEALTH DIVISION <br /> 5255.rpt <br />