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SAN JOAOUIN COUNTY PUBLICS f1LTH SERVICES i Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE AccountlD AR0016828 <br /> 00 <br /> Facility ID FA09828 <br /> Date Printed 1/31/01 <br /> LMOMENOMMEMOM <br /> RICHARD D AYRES RE : PISKEL'S AUTO AIR RAD& <br /> PISKEL'S AUTO AIR RAD&CELLULAR 264 BUTTON AVE <br /> 264 BUTTON AVE MANTECA CA 953368520 <br /> MANTECA CA 95336 OWNER: RICHARD D AYRES <br /> Health <br /> Date Progmm Description Hm Employee Amount <br /> Invoice# IN0080168--Date of Invoice: 1130101 <br /> 1/3012001 2220 SM HW GEN<5 TONSNR $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 312/200 <br /> TOTAL DUE this Billing Periodl $110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMEN <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 /> I i <br /> R F C: '. <br /> FEB 2 8 2001 <br /> 1: TY <br /> Erd'aa� ,, <br /> 5255.rpt <br />