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:,AN JOAQUIN COUNTY PU- `LC HEALTH SERVICES Report #5255 1 <br /> ENVIF;rONMtNTAL HEALTH I IN 6t, ment Printed : 05 /20/99 <br /> 304 E-.` WEBER AVENUE -- 3RD . JOR <br /> STOCKTON , CA 95202 <br /> Accounting Office : 209 468-3420 <br /> TO : JUAN ' S AUTO REPAIR - - - <br /> 1145 S AURORA ST Account #R 0016959 <br /> STOCKTON . CA 95206 <br /> ATTN : JUAN 0 MORGA F Facility—ID 009959 <br /> RE : JUAN ' S AUTO REPAIR <br /> 1145 S ALIRORA ST ,.. <br /> �Tl7�_LDN <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> ��.-wee------------ ----r----------- _.._ <br /> Invpice ## 057105 -- Date of Invoice: 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICEFEE $18 . 50 <br /> --.---------__-_--.__.__.. .._.___._...,,� <br /> Total for this invoice: $18. 50 <br /> Payment DUE DATE 06/20/99 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> Invoice ## 059294 -- Date of Invoice : 05/18/99 <br /> 05/18/99 2220 SM HW GEN <5 TONS /YR $10a . � :. <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10e ? <br /> Total for this invoice: $110 . 00 <br /> Payment DUE DATE 06/20/99 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> PAN,M ENT <br /> JUN 141%1W <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits SA14JGAf:UINGOUfM be added at the rate of 1O% 60 days <br /> PUBLIC IgZALTH�I liV1oro Y <br /> at the rate of 101% of the Base Fee 36 E14VIRGNiv1ENTALHkEALrhiOlVISION' dst invoice date and each 30 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period: $128. 50inq <br /> Please make" Checks PAYABLE to : PHS/EHD <br />