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SAN JOAQUIN COUNTY PUB IC H SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH IV <br /> 304 E WEBER AVE-3RD FLO R <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I F—AR0004379 <br /> Facility IDI FA0002387 <br /> Date Printed —4/24/00 <br /> ROBERT E HUNTLEY RE: STOCKTON BUMPER SERVICE <br /> STOCKTON BUMPERERVICE 632 S EL DORADO ST <br /> PO BOX 6096 STOCKTON CA 95206 <br /> STOCKTON CA 95206 OWNER: KEYSTONE AUTOMOTIVE IND INC <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0069389---Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN TONS/YR $100.00 <br /> 4/19/2000 2399 UNIFIED PRO RAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 5/24/2000 1 <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAY BLE to : PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of he 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 /> PAIMET <br /> MAY 2200® <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEAITH SERVICES <br /> FVVirinNt,<FNTAt HEATTy r)IVISION <br /> 5255.rpt <br />