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SAN JOAQUIN COUNTY ENVIRON TAL HEALTH DEPARTMENT Page 1 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0017108 <br /> Facility ID FA0010108 <br /> Date Printed 3/28/2002 <br /> JERRY FARLEY RE : FARLEY TRANSPORTATION <br /> FARLEY TRANSPORTATION 2807 S AIRPORT WAY <br /> 1508 CARPENTER RD STOCKTON CA 95206 20 <br /> STOCKTON CA 95206 <br /> OWNER: JERRY FARLEY <br /> Health <br /> Date Program Description <br /> Hia En-�p,oyee _ ?.mc�.int <br /> Invoice# IN0091648---Date of Invoice: 1/22/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONS/YR $200.00 <br /> Total for this Invoice $217.50 <br /> Payment Due Date 3 <br /> TOTAL DUE this Billing Period $217.50 <br /> _) <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 all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAS T DUE! <br /> '!V VVOUL0` Pt)9*F.'W-rE YOUR <br /> PAYI'AySNT TODAY! <br /> PAYMENT <br /> RECEIVED <br /> APR 17 2002 <br /> SAN JOAOUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIR0NNIFNT0,t HFAI TH PIVIWI jl <br /> 5255.rpt <br />