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i `�./ <br /> SAN JOAOUIN COUNTY PUBLIC HETH SERVICES Pagel <br /> ENVIRONMENTAL HEALTH DIVISION Ih <br /> 304 E WEBER AVE-3RD FLOOR !f <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> �f <br /> INVOICE R Account ID AR0019074 <br /> Facility 10 FA0012021 <br /> Date Printed 7126100 <br /> '� ? �i.�aanveeaaeers�, <br /> s <br /> WARREN SNIDER,VP OPERATIONS WESTERN SQUARE INDU ES INC <br /> WESTERN SQUARE INDUSTRIES INC 1621 N BROADWAY AVE <br /> 1621 N BROADWAY AVE �C-At-9 <br /> STOCKTON CA 95205 <br /> OWNER: WESTERN SQUARE INDUSTRIES INC <br /> Hearth � <br /> ,erNg am Descriptit <br /> on �_. _ _ i �Hrs.�Employee. �- -.s_-�A[nourk# <br /> .. r _— _ _ <br /> Invoice# IN0074887---Date of Invoice: 7125100 - r <br /> 6/1612000 3030 315 REPORT REVIEW 1.0 ROWE $78.00 <br /> '`I Total for this Invoicel $78.00 <br /> �I <br /> Payment Due Date 8/251200o <br /> TOTAL DUE this Billing Period 78.00 <br /> i <br /> Please make Checks PAYABLE to: PHS/EHD ! Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to alt Permit Fees II "For all SERVICE FEES <br /> ! at the Rate or 100%of the Base Fee Penaltieslw•ill be added at the Rate of If}% <br /> 30 Days arta-the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> q <br /> I, <br /> PAY <br /> CE QED <br /> RS <br /> pU G 7 2��4 <br /> its cou�srr <br /> D. <br /> PUBLI�HaA,�P�RµIb4V551D�1 . <br /> _ Ih Ip <br /> i <br /> h <br /> . .r <br /> 1 <br /> .p <br /> .59.5.5 ml <br /> i R <br /> i <br /> � ii <br />