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i <br /> ,�. • Neport 15252 <br /> AN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> _ IN J OAQ 4TAL HEALTH DIVISION <br /> AVE — 3RD FLOOR g63_34,20 Billing <br /> 304 E WEBER 209— <br /> CA 95202 %� 'p e:.M '.I:.: tl::,: `.ii- Date <br /> 1... fl' fl <br /> STOCKTON , Account i�—�y�� <br /> � <br /> MAR Y.E T b CAFE* pp01456 1`/15/97 <br /> TO . COLLEGEVMARIPOSA RD <br /> 13521 95205 <br /> Facility ID <br /> STOCKTON > CA <br /> AMARKET & <br /> CAFE 001457 <br /> TTN : COLLEGEVILLE <br /> RE : COLLEGEVILLE MARKET & CAFES <br /> 13521 E MARIPOSA RD S10CKTOPd <br /> PLEASE RETURN INVOICE NOTICE WIT { PAYMENT <br /> Amount <br /> Health tion <br /> Descrip $16 . 00 <br /> program <br /> Date $170 . 01 <br /> 043937 STATE SURCHARGE $170 , 0 <br /> Invoice 7 2301 USTUnds Tank Permit Fee $15 . 5 <br /> Fe <br /> 12 /12 /97 2380 Underground lank <br /> rmit EeSERVICE FEE <br /> 12/12/97 2380 UNIFIED PROGRAM <br /> FA $374 .c <br /> 1211 /97 2399 (~Total for this invoice : <br /> 2 <br /> _r-- <br /> $37A . <br /> �Total_Due : <br /> Payment DUE DATE ' <br /> This VOICE Hfor the ANN <br /> UALe <br /> TINFEES <br /> Environmental Health PERMIT <br /> for this FACILITY 1998] <br /> 7. , 'Lgg8 to December 31 , due . <br /> p anuarY has other charges will be <br /> If this ACCOUNT ACCOUNT STATEMENT <br /> complete monthlyACCOUNT <br /> December 20th pAYMEN� <br /> a comp sent <br /> on all Permits <br /> Penalties <br /> will be added JAN _ 51998 <br /> of 1@0% of the Base Fee 30 <br /> at the rate the due date . <br /> days after SANICHghtr SEM <br /> r7 PUBLIC NcaLTH SERVICES <br /> please make Checks PAYABLE to : PNS/E Ha"IRONMEN`Ai.HEALTH DIVISI <br />