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SAN JOAOUIN COUNTY PUBLIC LTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALT 11 DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0016148 <br /> FA0009148 <br /> Facility ID <br /> Date Printed 1/31/01 <br /> ASHOK PATE RE : CRYSTAL CLEANERS <br /> CRYSTAL CLEANERS 1296 W 11TH ST <br /> 1296 W 11TH ST TRACY CA 95376 20 <br /> TRACY CA 9 376 OWNER: ASHOK PATEL <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0079681 ---Date of Invoice: 1130101 <br /> 1/30/2001 2220 SM HW G N<5 TONS/YR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $11.0.00 <br /> Payment Due Date 312/20 1 <br /> TOTAL DUE this Billing Periodl $110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYNIENT <br /> Penalties will be addc d 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 he Due Date -eb Days after the Invoice Date and each 30 thereafter <br />