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SAN JOAQUIN COUNTY PUBLIC HTH SERVICES is Page 1 <br /> ENVIRONMENTAL HEALTH DMS <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I AR0017925 <br /> Facility ID FA0010925 <br /> LNIUMMINOMMOMA <br /> Date Printed 4/25/00 <br /> Lmmn ,: <br /> ADIN SELBY RE: OUTDOOR SYSTEMS <br /> OUTDOOR SYSTEMS 2050 W FREMONT ST <br /> 2050 W FREMONT ST STOCKTON CA 95203 <br /> STOCKTON CA 95203 OWNER: OUTDOOR SYSTEMS ADVERTISING I <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0071313—Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 5/25/2000 <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 /> atthe 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 /> RECEIVED <br /> MAY GZWO <br /> �N�OAOUIN COUNTY <br /> :USL:O HEALTH SERVICES <br /> sNAAQNMENTAL HEALTH DIVISION <br /> 5255.rpt <br />