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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD ^ AR0034423 <br /> Facility ID FA0019374 <br /> Date Printed 4/24/2009 <br /> BUREAU VERITAS RE : WALGREENS DRUG STORE <br /> 6920 KOLL CENTER PKWY 15 W HARDING WAY <br /> PLEASANTON, CA 94566 STOCKTON, CA 95204 <br /> OWNER : SANDFORD, SANDELMAN TR <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0189047---Date of Invoice: 4/23/2009 11111 11111 1111�11111 11111 IIN 11111 UII�111 111111 11111 1111 IN <br /> Hrs Employee <br /> 3/27/2009 2950 315-REPORT REVIEW 1.50 INFURNA $ 157.50 <br /> Total for this Invoice $ 157.50 <br /> Payment Due Date 5/24/2009 <br /> TOTAL DUE this Billing Period $ 157.50 <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 OES/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 /> 5254.rpt <br />