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02/18/02 1 :16PM;JetFa= 4409;Page 6/9 <br /> Serit by: CSK AUTO INC • 602;r • <br /> r <br /> SAN JOAOUW COUN'T'Y Pagel <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-466-3420 <br /> INVOICE Account lD FAR0017400 <br /> Facility 10 FFAOO10400 <br /> Date Printed 2Ifi12002 <br /> KM BOWLES RISK MGMT DEPT RE: KRAGEN AUTO PARTS#1137 <br /> KRAGEN AUTO PARTS#1137 430 S CHEROKEE LN <br /> PO BOX 6030 LODI CA 95240 20 <br /> PHOENIX AZ 85005 OWNER: CSKAUTO INC <br /> Health <br /> Date Program Descripbon Hrs Employee Amount <br /> invoicell! IN00911182—Date of Invoice: 1/2212002 <br /> 11228002 2399 UNIFIED PROGRAM FAG STATE SERVICE FEE $17.50 <br /> 1122/2002 2221 USED OIL ONLY-G5 TONStYF $50.00 <br /> Total for this Invoke $67.50 <br /> Payment Due Date 002 <br /> TOTAL DUE this Billing Period $67.50 <br /> t� <br /> Please maks Checlis PAYABLE to: EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Ponalties will be added to all Permit F005 For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate'fl D'V, <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> ;1i�`,' r LUiIC ,�il�Ft iUi1f <br /> 5255.rpf <br />