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SAN JOAQUIN COUNTY PUBLIC H-' 1 SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVI, r <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I AR0017980 <br /> <br /> <br /> <br /> G&L BROCK CONSTRUCTION CO INC 4145 CALLOWAY CT <br /> 4145 CALLOWAY CT STOCKTON CA 95215 <br /> STOCKTON CA 95215 24 OWNER: GARY&LYNNE BROCK <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0071361 ---Date of Invoice: 4/19100 <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 thislnvoice $110.00 <br /> Payment Due Date 5/25/2000 <br /> TOTAL DUE this Billing Periodl 110.00 <br /> Please make Checks PAYABLE to : PHS/EHD / Return a Copy of This STATEMENT with Your PAYMEN <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 30 thereafter <br /> PAYMENT <br /> RECE -ED <br /> MAY 1520 <br /> SAN PUBLIC DAQUIN CUUN7y <br /> ENVIRONMENTAL HrEgLTHVDIVISION <br /> 5255.rpt <br />