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SAN JUAWUIIV CUUIv 1 r <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD ARoozl,oz <br /> Facility ID FA0012689 <br /> Date Printed 12/18/2003 <br /> MONIER LIFETILE RE : PELLEGRI FARMS <br /> 3511 N RIVERSIDE AVE 21606 EL RANCHO RD <br /> RIALTO, CA 92377 TRACY, CA 95376 <br /> OWNER : PELLEGRI FARMS <br /> Date Health <br /> Program Description <br /> Amount <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 /> 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 />