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SAP:'JOAQUIN COUNTY ENVIROHEALTH DEPARTMENT Page 1 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0003410 <br /> Facility ID I FA0002048 <br /> Date Printed 5/23/2002 <br /> PALISADES GAS&WASH/C DIAZ RE : USA GASOLINE#835 <br /> PALISADES GAS&WASH 2705 COUNTRY CLUB BLVD <br /> <br /> <br /> OWNER: PALISADES GAS&WASH <br /> Health <br /> Date Program Description Hrs Employee - Amount <br /> Irroice# IN0095094---Date of Invoice: 511512002 <br /> 5/15/2002 2220 SM HW GEN<5 TONSNR $200.00 <br /> Total for this Invoice $200.00 <br /> Payment Due Date <br /> TOTAL DUE this Billing Period $200.00 <br /> Please make Checks PAYABLE to: EHD / Retum 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 /> .WRA ////0 ;1 — ( 213 / O�k <br /> PAYMENT <br /> RECEIVED <br /> JUN 12 2002 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SFRVICES <br /> ENVIRONMENTAL HEALIH CIVISIIIN' <br /> 5267.rpf <br />