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, <br /> •SAN JOAOUIN COUNTY r Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 3041 WEBER AVE-3RD FLOOR <br /> STC 'KTON. CA 95202 <br /> Phone: 209-468-3420 <br /> INVOICE Account ID AR0010254 <br /> Facility ID FA0007087 <br /> Date Printed 215/2002 <br /> BIG VALLEY FORD RE: BIG VALLEY FORD <br /> 3282 AUTO CENTER DRIVE 3282 AUTO CENTER DR <br /> STOCKTON CA 95212 STOCKTON CA 95212 <br /> OWNER: BIG VALLEY FORD <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0090490--Date of Invoice: 112212002 <br /> 1/22/2002 2228 GEN 25650 TONS PERMIT $1.792.00 <br /> 1/27/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> Total for this Invoice $1,8 50 <br /> Payment Due Date 3/712002 <br /> TOTAL DUE this Billing Period $1,809.50 <br /> Please make Checks PAYABLE to: EHD / Retum 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 /> SEB 212002 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> FNVIRONMENTAL HEALTH DIVISION <br /> f�J <br /> 5255.rpt <br />