Laserfiche WebLink
SAN <br /> JOAQUIN COUNTY PUBLIC HF ALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DM V <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account/ AR0016012 <br /> Facility I FA0009012 <br /> LINEMMMMMMMill <br /> Date Printed 4/25/00 <br /> IMMINNINNIMEMMIMM <br /> FRANK H PELKO JR RE: PAYLESS FOREIGN CAR REPAIR <br /> PAYLESS FOREIGN CAR REPAIR 26 N CHEROKEE LN# B <br /> <br /> OWNER: PAYLESS FOREIGN CAR REPAIR <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0069868—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 /> Pavment Due Date 6/25/2000 <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMEN <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> atthe Rate of 100%ofthe 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 eadt 30 thereafter <br /> r IO I C., t al r`-C- c L1JV l . <br /> / NAG2 <br /> S <br /> SAN JOAOUN4 COUNTY <br /> ( PUSI.IC HEALTH SERVICES <br /> ENVIRONMIENTAL HEALTH DIVISION <br /> 5255.rpt <br />