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SAN JOAQUIN COUNTY PUBLIC"I:ALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH.DIV_aON <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209468-3420 <br /> INVOICE Account ID AR0017470 <br /> LMMIMMMMEMEM <br /> FA0010470 <br /> Facility ID tv <br /> Date Panted4/16/01 <br /> LMEENNOMMENE <br /> BELL KENNEDY RE : BISHOP INDUSTRIES INC <br /> BISHOP INDUSTRIES INC 551 E CARNEGIE ST <br /> 551 E CARNEGIE ST MANTECA CA 953376120 <br /> MANTECA CA 95337 61 OWNER: CONCORD GEN CORP <br /> Health <br /> Date Program Description Him Employee Amount <br /> Invoice# IN0080695—Date of Invoice: 1130/01 <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 1 <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 /> APR 16 2001 <br /> sanl,Irnc• "�s ry <br /> rues,n' . <br /> U'Mphr . <br /> 5255.rpf <br />