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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report #5255 <br />ENVIRONMENTAL HEALTH DIV' -ON St-"ament Printed: 05/20/99 <br />3-04 E WEBER AVENUE — 3RD .00R <br />STOCKTON, CA 95202 <br />Accounting Office: 209 468-3420 <br />TO: <br /> <br /> <br />Account # 001662 <br />ATTN: NAVNIT PANCHAL Facility ID 009621 <br />RE:: JACK RABBIT <br />q 7,1 - -1 N•f] U'S-T:R <br />RIPON <br />PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br />Service Activity <br />Date Description Mrs Employee Amount <br />Invoice ## 056797 -- Date of Invoice: 05/18/99 <br />05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $18.50 <br />Total for this invoice: $18.5 <br />Payment DUE DATE 0 <br />If this INVOICE has been Paid, Please Disregard this Notice <br />Invoice #p 058969 -- Date of Invoice: 05/18/99 <br />05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br />05/18/99 22.20 SM HW GEN (5 TONS/YR $100.00 <br />--------------- <br />Total for this invoice: $110.0 <br />Payment DUE DATE 0 <br />If this INVOICE has been Paid, Please Disregard this Notice <br />For all SERVICE FEES penalties will <br />Penalties will be added on all Permits be added at the rate of 198 61 days <br />at the rate of 1908 of the Base Fee 30 past invoice date and each 39 days <br />days after the due date. thereafter, <br />y TOTAL DUE this Billing Period: =$128.50 <br />p M+ll <br />ase make make Checks PAYABLE to: PHS/EHD <br />PV MFN <br />rN��P�N <br />