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SAN JOAQUIN COUNTY PUBLIC'"4LTH SERVICES Page 1 <br /> INVIRONMENTAL HEALTH DIVti.w4N ../ <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209468-3420 <br /> INVOICE Account ID AR001 669 <br /> FA0009697 <br /> Facility ID <br /> Date Printed3/16/01 <br /> LONMEMMMMMEN <br /> MARY RICHARDSON RE : PG&E VERNALIS DEHYDRATOR <br /> PG&E 1688 E DURHAM FERRY RD <br /> 375 N WIGET LN TRACY CA 95376 20 <br /> WALNUT CREEK CA 94598 OWNER: PG&E <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0080061 --Date of Invoice: 1/30/01 <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 3/2/2001 <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PA MEN <br /> Penalties will be added to all Permit Fees For all SERVICE FEE <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 /> MAR 1 6 2001 PAYMENT <br /> RECEIVED <br /> sANJo oUN'Y MAR 1 5 2001 <br /> Purllc� -avicts <br /> truvu ' :u �a r��l plvlslah <br /> SAN JOAO N COUNTY <br /> poBL IC riFPM il S,'RVICES <br /> ENVIRO" l;N iAl z .I ON4SIOty <br /> 5255.rpt <br />