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SAN JOAOUIN COUNTY PUBLIC ALTH SERVICES • Page 1 <br /> ENVIRONMENTAL HEALTH DI ON <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 FEB 6 2001 <br /> INVOICE AccountiD AR0017925 <br /> FA0010925 <br /> Facility ID <br /> Date Printed 2/1/01 LMMENNOMMMENNr� <br /> ADIN SELBY RE : OUTDOOR SYSTEMS <br /> OUTDOOR SYSTEMS 2050 W FREMONT ST <br /> 2050 W FREMONT ST STOCKTON CA 95203 20 <br /> STOCKTON CA 95203 OWNER: OUTDOOR SYSTEMS ADVERTISING <br /> Health <br /> Date Program Description Firs Employee Amount <br /> Invoice# IN0081067--Date of Invoice: 1/30/01 <br /> 1/30/2001 2220 SM HVV GEN<5 TONS/YR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 3/ 001 <br /> TOTAL DUE this Billing Period 110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 2 2001 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />