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SAN JOAOUIN COUNTY PUBLIC. .LTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0017108 <br /> 010108 <br /> Facility ID FA0�® <br /> Date Printed 2/1/01 <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 OWNER: JERRY FARLEY <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> _ <br /> Invoice# IN0080401 ---Date of Invoice: 1130101 <br /> 1/30/2001 2220 SM HVV GEN<5 TONS/YR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $1 <br /> Payment Due Date 3/3/2001 <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAYMENT <br /> RECEIVED <br /> FEB l$I q 2001 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SFRVICLS <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />