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.AN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTN T Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0002554 <br /> Facility ID FA0002992 <br /> Date Printed 5/13/2003 <br /> CCRC FARMS LLC RE : CCRC FARMS LLC 39-100 <br /> CCRC FARMS LLC 39-100 MANDEVILLE ISLAND <br /> PO BOX 248 STOCKTON, CA 95206 <br /> HOLT, CA 95234 <br /> OWNER : CCRC FARMS LLC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0106626---Date of Invoice: 4/23/2003 <br /> Hrs Employee <br /> 3/18/2003 2775 330-SAMPLING 1.50 Sandoval $ 133.50 <br /> Total for this Invoice $ 133.50 <br /> Payment Due Date 5/23/2003 <br /> TOTAL DUE this Billing Period $ 133.50 <br /> PAYMENT <br /> RECEIVED <br /> MAY 13 2003 <br /> SAN JOAQUIN COUNIY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <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 OES/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 /> 525-`.rpt <br />