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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 AR0017376 <br /> Facility ID FA0010376 <br /> Date Printed 2/6/2002 <br /> RALPH MC COOK RE: RANSOM PAINTING CO INC <br /> RANSOM PAINTING CO INC 606 S ANTEROS AVE <br /> PO BOX 1282 STOCKTON CA 95205 20 <br /> STOCKTON CA 95201 OWNER: TOMS RANSOM <br /> Health <br /> Date Program Descdptlon - -- - Hrs Employee Amount <br /> Invoice# IN0091863—Date of Invoice: 1/22/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONS/YF $200.00 <br /> Total for this Involce $217.50 <br /> Payment Due Date 3/8/2002 <br /> TOTAL DUE this Billing Period $217.50 <br /> Please make Checks PAYABLE to: EHD / Returns 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 /> PAYMEN i <br /> RECEIVES <br /> �rB zoo? <br /> SAII <br /> PUBLI�HEAIIH ER\ICE <br /> E;NVIRiiNMFN7'd. 'I�41 R�i�IVItiIpN <br /> 5255.rpt <br />