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F INVOICE • <br /> I N Q L I C E <br /> Acct ID 0000851 Facilitv ID <br /> Invoice # 0008`x'`' <br /> 008417 Name MANTECA HOSPITAL <br /> invoice date 03/11/94 Total charges aaolied <br /> $ 170. 00 <br /> Print date 03/18/94 <br /> Charges less discounts $ 170. 00 <br /> Last payment date � / 1 Total payments applied LA. 00 <br /> Last penalty date <br /> # of not ices printed Total due 17�c�. �1k� <br /> Invoice status <br /> ;3AYMER- T <br /> RECEIVED <br /> APR 12 1994 <br /> SAN ,IOAQI IIN COUNTY <br /> vUOLr,HZALTH SER`!IC'=S <br /> TALHLkL-SH OmSIQN <br /> This record was entered on 03/11/94 By LAURIE <br /> This record was last updated on By <br /> -- — <br /> E-Enter L=Lookup X-) INVLINE Y-) ACCTREC Page 1 8:57:50a <br /> Owner' s dame : MANTECA HOSPITAL <br /> Facility Name & Address Account Mailing Address <br /> MANTECA HOSPITAL MANTECA HOSPITAL <br /> 1205 E NORTH PO BOX 191 <br /> MANTECA. CA 95336 MANTECA, CA 95,.3„8 <br /> Name <br /> Care Of <br /> Street Number Street <br /> City State _ Zip --------- <br /> Phone - - Alternate - - Alternate #2 - -- <br /> Census District Location City code <br /> Balances - <br /> 1 to 30 $ 170. 00 <br /> 31 to 60 $ 0. 00 Last payment $ 490. 00 <br /> 61 to 90 $ 0. 00 <br /> 91 to 180 $ 0. 00 Sent to collections <br /> 121 Plus $ 0. 00 -- <br /> Total Due $ 170. 00 prior month' s balance $ 0. 00 <br /> Processing Page 1 8:57:56a <br /> Account . ID: 0000851 <br /> Date P/E Description Type Receipt # Check # !17 <br /> Invoice #008417 <br /> 03/11/94 8330 NEW SINGLE TANK <br /> Invoice #006447 <br /> 12/13/93 4522 ACUTE CARE PERMIT FEE <br /> 01/27/94 9999 PAYMENT490, 0+'ti <br /> Check 94 PEWT 173512 494 . 00 <br />