Laserfiche WebLink
SAN 7OAOUIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 20946&3420 <br /> INVOICE Account) AR0017042 <br /> Facility I FA0010042 <br /> Date Print 5/30/00 <br /> ANNE GAUTHIER RE: WINSTON THZE CO#120 <br /> WINSTON TIRE CO#120 923 S CHEROKEE IN <br /> 900 W ALAMEDA AVE LODI CA 95240 20 <br /> BURBANK CA 91506 OWNER: OLIVER&WINSTON <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0070588—Date of Invoice: 4/19100 <br /> 4/19/2000 2220 SM HW GEN<5 TONS/VR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> TO for this lnvolce $110.00 <br /> Payment Due Date 6/2912000 <br /> TOTAL DUE this Billing Period 5110.00 <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 /> pPAY�, <br /> 77 <br /> EV-P '. <br /> SAY UNIIIk: <br /> SAN JQ:, 11.,, <br /> PUBL:,: - "i.iF <br /> ENVIRONk,- JAL HE _. <br /> 555 m1 <br />