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:IAN JoAQU1N COUNTY PUBLIC "4ALTH SERVICES Page 1 <br /> E±VVHIOAFMENTAL HEALTH DIV_40N <br /> 3041 WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID I AR0017470 <br /> FA0010470 <br /> Facility ID LEMOOMMMENOMA <br /> Date Printed 2/7/01 <br /> BILL 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 Hrs Employee Amount <br /> Invoice# IND070941 --Date of Invoice: 4119/00 <br /> 7/15/2000 9994 PERMIT FEE PENALTY $100.00 <br /> 9/28/2000 9999 PAYMENT -$110.00 <br /> 4/19/2000 2220 SM HW GEN<5 TONS/YR $100 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE 10.!00 <br /> Totalfor this Invoice 100.00 <br /> PAST DUE <br /> Invoice# IN0080696--Date of Invoice: 1/30/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONS/YR QI $1 WOO <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice 110.00 <br /> Payment Due Date 3/9/2001 <br /> TO AL DUE this Billing Period $210.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penaltieswill bea a to all ermiFees Fora <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 /> PAYM-NT <br /> RECEiAi,--17 <br /> FEB 0 7 2001 <br /> SAN.IOAUL''.N COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEAITH DIVISION <br /> 5255.rpf <br />