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SAN JOAOUIN COUNTY Page 1 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON. CA 95202 <br />Phone: 209-468-3420 <br />INVOICE Account ID AR0022800 <br />Facility ID FA0013644 <br />Date Printed 2/6/2002 <br />TOM PRICE RE: GASOLINE ALLEY <br />GASOLINE ALLEY 720 E LODI AVE <br />720 E LODI AVE LODI CA 95240 <br />LODI CA 95240 <br />OWNER: PRICE, TOM <br />Health <br />Date Program Description Hrs Employee Amount <br />Invoice # IN0092909 --- Date of Invoice : 1/22/2002 <br />1/22/2002 2220 SM HVV GEN <5 TONSNF $200.00 <br />1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br />Total for this Invoice $217.50 <br />Payment Due Date 3/8/2002 <br />TOTAL DUE this Billing Period $217.50 <br />Please make Checks PAYABLE to: 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 />RECFI\/Fr3 <br />SAN JUHi1UIN GUUNI Y <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />5255. rpt <br />