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SAN JOAOUIN COUNTY PUBLIC HEAL H SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE Account) AR0019784 <br /> Facility I FA0012237 <br /> Date Printe 5/30/00 <br /> meemoomma <br /> MR CHRIS CAMMACK RE: ELKS LODGE#1016 <br /> ELKS LODGE#1016 37 W SONORA ST <br /> 8227 N FRESNO ST STOCKTON CA 95212. <br /> FRESNO CA 93720 OWNER: IBPOE OF W LODGE 1016 <br /> Health <br /> Daie Program. Description Hrs Employee Amount <br /> Invoice# IN0067083—Date of Invoice: 12128/99 <br /> 12/9/1999 2950 312 CONSULTATION 0.2 DUNCAN $15.60 <br /> 12/9/1999 2950 315 REPORT REVIEW 1.1 DUNCAN $65.80 <br /> 12/10/1999 2950 312 CONSULTATION 0.3 DUNCAN $23.40 <br /> 12/1011999 2950 312 CONSULTATION 1.1 DUNCAN $85.80 <br /> 12/13/1999 2950 310 FIELD CONSULT 0.7 DUNCAN $54.60 <br /> 12113/1999 2950 315 REPORT REVIEW 0.2 DUNCAN $15.60 <br /> 12/20/1999 9999 PAYMENT -$234.00 <br /> Total for this lnvcice $46.80 <br /> Payment Due#iC <br /> TOTAL DUE this Billing Period $46.80 <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 /> PAST DUE? <br /> JUN 8 zom WE WOULD APPRECIATE YOUR <br /> SAN JOAQUIN PAYMENT TOnAY! <br /> PUBLIO HEALTH S- <br /> ENVIRONMEMAL HFld-Th Uivibl, <br /> fi75.5 ml <br />