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SAN JOAQUIN COUNTY PUBLIC H TH SERVICES • Page 1 <br /> ENVAtONMENTAL HEALTH DIVISWR <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 /► <br /> 'N VO I C E Account I AR0017400 <br /> Facility IEJ FA0010400 <br /> Date Printedq/25/00 <br /> KM BOWLES RISK MGMT DEPT RE: KRAGEN AUTO PARTS #1137 <br /> KRAGEN AUTO PARTS#1137 430 E CHEROKEE LN <br /> PO BOX 6030 <br /> PHOENIX AZ 85005 OWNER: CSK AUTO INC <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0070885—Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 5125/2000 <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 /> vAY 22= <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMFNTAL HEALTH DIVISION <br /> 5255.ipt <br />