Laserfiche WebLink
BILL FOR SERVICES RENDERED <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. HAZELTON AVE. , <br /> P.O. BOX 2009, STOCKTON, CA 95201 <br /> ( 209 ) 468-3447 <br /> TIME MINIMUM FOR EACH INSPECTION: ONE ( 1 ) HOUR. ADDITIONAL INSPEC- <br /> TION TIME WILL BE COMPUTED TO THE NEAREST HALF (�) HOUR INCLUDING <br /> TRAVEL TIME. <br /> NOTE: PRIOR TO ALL INSPECTIONS, CONTR iCTORS 1`,RE REQUIRED TO GIVE <br /> NOTICE AS SPECIFIED ON THE PERMIT APPLICATION. <br /> SITUS ADDRESS: �` c <br /> PERMIT# <br /> BILL TO: NAME <br /> ADDRESS 3 ev <br /> CITY/STATE o ).� I ZIP <br /> PROGRAM <br /> DESCRIPTION OF SERVICE(S ) : <br /> 7 �e <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/HOLIDAYS SANITARIAN <br /> OF HRS 8AM-5PM 5PM-8AM <br /> SERVICE WORKED $35/HR $52 . 50/HR $70/HR <br /> r <br /> TOTALS <br /> BALANCE DUE: .l 75 <br /> BILLING DATE: PAYMENT IS TO BE RECEIVED <br /> 30 DAYS FROM THE BILLING DATE. <br /> RETURN ONE ( 1 ) COPY OF THIS BILL ALONG WITH PAYMENT. <br /> MAKE CHECKS PAYABLE TO: SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> EH 00 46 9/88 <br />