Laserfiche WebLink
f SAN gGAQUIN COUNTY PUBLIC HrALTH SERVICES � i� Report #5255 <br /> ENLZ.R .4MEN #� <br /> TA,L E4_,:LTH DIViS�V St r leiit Printed : 10/22 /99 <br /> f 304 E WE,8VRj,AVE•NUE — 3R,D FLOOR i. <br /> STOCKTON , CA 95402 � <br /> Acca,untinr ° O.f ice : 209 468-3420 <br /> i <br /> f TO : WESTERN SQUARE INDUSTRIES INC <br /> 1623. N BROADWAY AVE Account # 0019074 ! <br /> ' STOCKTON , CA 95205 <br /> a <br /> TTN : WARREN SNIDER .VP OPERATIONS Fac ' lity ID 012021 <br /> 1621 N BROADWAY AVE <br /> { STOCKTON <br /> 1 PLEASE RETURN a COPY of THIS STATENENT with YO LIR PAYENT <br /> Servi11ce Activity <br /> Date Description Ht`s f Employee Amount <br /> Invoice #k 065189 --- Date of. invoice: 10/21/99 <br /> 09/02/99 3030 FIELD CONSULT 1 °. Rt)WE~ 00 <br /> 09/0 /99 3030- FIELD CONSULT 5 .::b R'OWE $390 . <br /> Total f r this invoice : 468.00 <br /> P�aymer`rt DUE [)ATE 1 21 j99 i <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> i <br /> i <br /> For all SERVICE FEES penalties will <br /> Penalties will be added_ on all Permits be addedlat the rate of tot 60 days i <br /> at the rate of 100E of the Base Fee 30 past i0oice date and each 36 days <br /> 1 Jays after the due date. . ' 1. thereafter. { <br /> TOTAL DUE this Billin. Period:' $468. 00 <br /> PAYM PENT <br /> Please make Checks PAYABLE ."t'o'. P +S/EHDECEIVED <br /> NOV 1 <br /> SANI JQAQvrN counm <br /> PUBLIQ HEALTH SERVICES <br /> ILE,VuiR�j��kPl7,Ad,1iF,/i�-TH 4�YISION ' <br />