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Account ID AR0008426 <br />Facility ID FA0006439 <br />Date Printed 2/26/2020 <br />INVOICE <br />II <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />Page 1 <br /> <br /> <br /> <br /> <br />RE: COUNTRY CLUB MOBIL CIRCLE K <br />2575 COUNTRY CLUB BLVD <br />STOCKTON, CA 95204 <br />OWNER: CALIFORNIA FUEL SUPPLY <br />Date Health <br />Program Amount I Description <br />Invoice # IN0334524 --- Date of Invoice: 2/25/2020 111E111111111111 111 11111111111111 MOE 1111131011111 VITO Ell 1111 II <br />Hrs Employee <br />1/30/2020 2351 333- INSPECTION/REINSPECTION (Chargeable) 1.70 RIVERA 258.40 <br />Total for this Invoice <br />Payment Due Date 3/27/2020 <br /> <br />TOTAL DUE this Billing Period $ 258.40 <br /> <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 HMBP 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 /> Penalties will be added at the Rate of 10% <br />30 Days after the Due Date 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br />258.40 <br />5251.rpt