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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM' Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0000109 <br /> Facility ID FAD000110 <br /> Date Printed L 6/26/2007 <br /> EUGENIA D VALDEZ RE : J & L MARKET <br /> J & L MARKET 8115 S EL DORADO ST <br /> PO BOX 238 FRENCH CAMP, CA 95231 <br /> FRENCH CAMP, CA 95231 <br /> OWNER : VALDEZ, EUGENIA DUARTE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0163574---Date of Invoice: 6/1/2007 111 11111 11111 11111 IHI 11111 11h 11111 11E 11111 1111 11111�1111�IIII IN <br /> 6/1/2007 2220 SM HW GEN <5 TONS/YR $ 206.00 <br /> Total for this Invoice $ 206.00 <br /> Payment Due Date 7/1/2007 <br /> TOTAL DUE this Billing Period $ 206.00 <br /> PAYMENT <br /> RF <br /> C'1EIVED <br /> JUL 0 5 200? <br /> SAN JOAOUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> �254.rpt <br />