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SAN JOAQUIN COUNTY PUBLIC ► \LTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVN f <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE AccountlD AR0020869 <br /> FA0012624 <br /> Facility ID <br /> Date Printed 1112010 <br /> MARTY,BOB RE : TAPIAS ROOFING <br /> ADVANCED GEOENVIRONMENTAL 3507 STEVENSON RD <br /> 4005 N WILSON WAY STOCKTON CA 95205 <br /> STOCKTON CA 95205 OWNER : TAPIA,EMET <br /> Health <br /> DateProgram _Description Hrs Employee Amount <br /> Invoice# IN0075698---Date of Invoice: 918100 <br /> 9/11/2000 9999 PAYMENT -S234.00 <br /> 81912000 2950 310 FIELD CONSULT 1.0 ROWE $87.00 <br /> 8/15/2000 2950 310 FIELD CONSULT 2.0 ROWE $174.00 <br /> 8/22/2000 2950 310 FIELD CONSULT 1.0 ROWE $87.00 <br /> l� <br /> Total for this Invoice - $114.00 <br /> Payment Due Date !m <br /> Invoice# IN0076519--Date of Invoice: 10/16/00 <br /> 9/27/2000 2950 312 CONSULTATION 1.5 LAGORIO $130.50 <br /> I <br /> Total for this Invoice $130.50 <br /> Payment Due Date 11/19/2000 <br /> TOTAL DUE this Billing Period $244.50 <br /> I <br /> Please make Checks PAYABLE to : PHS/EHD 1 Return a Copy of This STATEMENT with Your PAYMENT <br /> en alties will bea a to all ermit Fees Fora <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 /> I <br /> PAYMENT <br /> RECEIVED <br /> r <br /> DEC 6 2000 <br /> SAS`!JOAQUIN COUNTS <br /> PUBLIC HEALTH SERVICE <br /> ENVIRONMENTAL HEALTH DIVISION i <br /> a <br /> 5255.rpt <br /> a <br /> � i ; <br />