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SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE AccountlD1 AR0017108� <br /> Facility ID FA0010108 <br /> Date Printed 5/30/00 <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 De6cription Hrs Employee Amount <br /> Invoice# IN0070646---Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 6/29/2000 <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 /> rc�, i"4r-1 <br /> jog � <br /> JOAOUIN Y <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> FJfiF ml <br />