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SAN JOAQUIN COUNTY Page i <br /> NVIRONMENTAL HEALTH DEPARTMrA <br /> 304E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 35202 <br /> 'hone: (209)468-3420 <br /> INVOICE AccountlD AR0014787 <br /> (Facility ID FA0007968 <br /> Date Printed 12111/2003 <br /> JACK ALEXANDER RE : ,ARS HEARTWATCH <br /> ARS HEARTWATCH 518 BRECK CT <br /> 15252 SURE BET RD BENECIA, CA 94510 <br /> GRASS VALLEY,CA 95945-8678 <br /> OWNER: ARS HEARTWATCH <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0113312--Date of Invoice: 11118112003 <br /> 11/1812003 4557 MED WASTE LIMITED HAULER $ 70.00 <br /> total for this Invo[ce $ 70.00 <br /> Payment Due Date 1212112003 <br /> TOTAL DUE this Billing Period $ 70.00 <br /> I <br /> I . <br /> I ' <br /> I <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 DES l,HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> i <br /> i' <br /> 5255.T-pt <br />