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SAN JOAQUIN COUNTY PUBLIC HE TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVI <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE AccountlD AR0018279 <br /> LMMOOMMMMMON <br /> Facility ID FA001127g <br /> <br /> Date Printed4/25/00 <br /> FRANK DOMINGUEZ RE: CUSTOM METAL FINISHING <br /> CUSTOM METAL FINISHING 1550 SHAW RD#C <br /> 1550 SHAW RD#C STOCKTON CA 95215 <br /> STOCKTON CA 95215 OWNER: CUSTOM METAL FINISHING <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0071506--Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONS/YR $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 5/26/2000 <br /> TOTAL DUE this Billing Period $170.00 <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 /> ®1ar�a jvj 4AW <br /> SAN JUNpUIN Cuoopr•' <br /> PUBO HFALTH pL.HES TRVV'Irh IOW <br /> FNVIROT <br /> ?55.rpt <br />