Laserfiche WebLink
SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ✓304 E WEBER AVE-3RD FLOOR <br /> STOCK <br /> <br /> ................. <br /> Account ID AR0016333 <br /> Facility ID FA0009333 <br /> Date Printed ............. <br /> 6/22/00 <br /> LARRY DEJONG RE: C DEJONG TRUCKING INC <br /> C DEJONG TRUCKING INC 24975 S AUSTIN RD <br /> PO BOX 126 RIPON CA 95366 20 <br /> RIPON CA 95366 OWNER: C DEJONG TRUCKING INC <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0070091 ---Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $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 <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Returns 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 30thereafter <br /> PAYMENT <br /> RECEIVED <br /> J U L 19 2000 <br /> SAN PCES AST DUE? ENVIRONLMENHEALTH TjOAOL.4N COUNTY <br /> AL HEALTH DIVISION <br /> WE WUtJI_U APPRECIATE YOUR <br /> PAY MFNT TOnAY! <br /> 57.5.5 mf <br />