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Page 1 <br /> SAN JOAOUIN COUNTY PUBIJ(l,.,e:AI,TH SERVICES >♦f <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE.-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0017935 <br /> FA0010935 <br /> Facility ID <br /> Date Printed <br /> 2/28/01 <br /> RE : J&C AUTO MOTOR <br /> <br /> <br /> <br /> <br /> OWNER: JOSE LUIS LOPEZ <br /> Hrs Employee int <br /> Dete Program Description <br /> Involve# IN0081076--Date of Involve; 1130101 <br /> $100.00 <br /> 1/30/2001 2220 SM HVV GEN 45 TONSIYR $10.00 <br /> 1/30/20011 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE Total for this Invoice $110.00 <br /> Payment Due Date 1212001 <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAYABLE to : PHS/EHD I Return a Copy of This STATEMENTES with Your PAYMENT <br /> ICE <br /> PenaES <br /> lties will be added to all Penni'Fees Penalties will be added at the Rate of 10 <br /> at the Rate of 100%of the Base Fee 60 Days after the Invoice Date and each 30 thereafter <br /> 30 Days after the Due Date <br /> PAYMENT <br /> RECEIVED <br /> MAR 14 2001 <br /> PUBLIC HEALTH SERNCES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpi <br />