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MN uuH4U1N CUUNTY PUBLIC HEALTH SERVICES - Report 15255 <br /> -NVI,R.OMMENTAL HEALTH DIVION S tent Printed : 05/20 /99 <br /> BO4" E .`k4WER AVENUE — 3RD OR <br /> JTOL'KTON , CA 95202 <br /> ccounting Office : 209 468-3420 <br /> TO : M T S <br /> r <br /> PO BOX 6336 Account # 0005073 <br /> STOCKTON , CA 95206 <br /> ATTN : ERIC HORTON Facility ID 004672 <br /> _.� _ <br /> _. <br /> RE : INDEPENDENT TRUCKING <br /> 1145 W CHARTER WAY <br /> STOCKTON <br /> PLEASE RETURN a COPY of TRIS STATEMENT with YOUR PAYMENT <br /> DaService Activity <br /> Date Description Hrs Employee Amount <br /> nvoice # 060667 -- Date of Invoice : 05/19/99 <br /> 04 /20/99 2960 CONSULTATION 0_ 4 INFURNA $31 . 20 <br /> ------------------------------------•— <br /> Total for this invoice : $31. 20 <br /> Payment DUE DATE 06/20/99 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> J <br /> 0 <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of 10% 60 days <br /> at the rate of 1000 of the Base Fee 31 past invoice date and each 30 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period: � $31v2O <br /> Please make Checks PAYABLE to : PHS/EHD <br />