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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0021102 <br /> Facility ID F FA0012689 <br /> IMMOMMMMMMMEN <br /> Date Printed 11/21/2003 <br /> MONIER LIFETILE RE : PELLEGRI FARMS <br /> 1990 E RIVERVIEW DR 21606 EL RANCHO RD <br /> SAN BERNARDINO, CA 92408 TRACY, CA 95376 <br /> OWNER : PELLEGRI FARMS <br /> Date Health <br /> Program Description <br /> Amcunt <br /> Invoice# IN0114037---Date of Invoice: 11/20/2003 <br /> Hrs Employee <br /> 10/20/2003 2960 310-FIELD CONSULT 2.50 DUNCAN $ 232.50 <br /> Total for this Invoice $ 232.50 <br /> Payment Due Date 12/21/2003 <br /> TOTAL DUE this Billing Period $ 232.50 <br /> �IWO <br /> oEc X2003 <br /> E pFRONM tn,i/ C7'y <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 DES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />