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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DI ON <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0O21102 <br /> Facility ID FAO!!6$!771 <br /> Date Printed 2123101 <br /> RE : PELLEGRI FARMS <br /> MONIER LIFETILE 21606 EL RANCHO RD <br /> 1990 E RIVERVIEW DR TRACY CA 95376 <br /> SAN BERNARDINO CA 92408 OWNER: PELLEGRI FARMS <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0078246---Date of Invoice: 1214100 <br /> 12/4/2000 9999 PAYMENT -$261,00 <br /> 11/20/2000 2950 315 REPORT REVIEW 1.0 LAGORIO $87.00 <br /> 11/21/2000 2950 310 FIELD CONSULT 1.5 LAGORIO $130.50 <br /> 12/8/2000 2950 310 FIELD CONSULT 1.5 LAGORIO $130.50 <br /> Total for this Invoice $87.00 <br /> 4 <br /> Payment Due Date2512001 <br /> TOTAL DUE this Billing Period 87.00 <br /> Please make Checks PAYABLE to: PHSIEHD / 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 afterthe Invoice Date and each 30 thereafter <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 3 2001 <br /> SAN jA �,IN COUNTY <br /> PUBLICHEDAJH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />