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SAN JOAOUIN COUNTY PUBLIC_ .ALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DON <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE Account ID AR0017188 <br /> \Q\ <br /> Facility I FA0010188 <br /> \\� d Date Printed 2/1/01 <br /> RE : ANTONINI ENTERPRISES LLC <br /> <br /> <br /> <br /> OWNER: MARK ANTONINI,J ANTONINI <br /> Health <br /> Date Program Description lits Employce Amount <br /> Invoice# IN0080468...Date of Invoice : 1/30101 <br /> 1/30/2001 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 <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 /> 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 /> MAR 0 5 2001 <br /> SAN JOA:'._'.'d <br /> 5255.rpt <br />