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SAN JOAQUIN COUNTY <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTN, <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD, AR0016012 <br /> Facility ID FA0009012 <br /> Date Panted 2/27/2003 <br /> PAYLESS AUTO REPAIR INC RE : PAYLESS AUTO REPAIR INC <br /> <br /> LODI, CA 95240 <br /> OWNER : PAYLESS AUTO REPAIR INC <br /> Health <br /> "a" Program De.'dPU0;, Amount <br /> Invoice# IN0103271 —Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee S 85.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 302.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ /302.501 <br /> ,i <br /> PAYMENT <br /> RECEIVED <br /> MAR 3 1 2003 <br /> SANPUBLICDHEALTH ER4CES <br /> EN4IRONMENTAL HEALTH DIVISION <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 Days thereafter <br /> 1 5255.rpt <br />