Laserfiche WebLink
,�aAN JOAOUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPS RENT <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON. CA 95202 <br />Phone: 209-468-3420 <br />INVOICE <br /> <br /> <br /> <br /> <br />Page 1 <br />Account ID <br />AR0016621 <br />Facility ID <br />FA0009621 <br />Date Printed <br />3/14/2002 <br />RE: JACK RABBIT <br />471 INDUSTRIAL AVE <br />RIPON CA 95366 20 <br />OWNER: EARL M ANDERSON <br />Health <br />Date Program Description Hrs Employee Amount <br />Invoice # IN0091259 --- Date of Invoice : 1/22/2002 <br />1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />$17.50 <br />1/22/2002 2220 SM HVV GEN <5 TONSNR <br />$200.00 <br />Total for this Invoice <br />$217.50 <br />Payment Due Date <br />3/7/2002 \ <br />TOTAL DUE this Billing Period <br />$217.50 <br />Please make Checks PAYABLE to: EHD / <br />Return a Copy of This STATEMENT with Your PAYMEN <br />Penalties will be added to all Permit Fees <br />For all SERVICE FEES <br />at the Rate of 100% of the Base Fee <br />Penalties will be added at the Rate of 10% <br />30 Days after the Due Date <br />60 Days after the Invoice Date and each 30 thereafter <br />PAY N/! L R <br />RECRVEG, <br />MAR 12 "002 <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONWNTAl HEALTH DIVISION <br />5255.rpt <br />