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�. • • <br /> SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-468-3420 <br /> INVOICE Account ID AR0016644 <br /> Facility ID FA0009644 <br /> Date Printed 2/5/2002 <br /> EARL BREITSTEIN RE: COX BROS TIRE SERVICE <br /> COX BROS TIRE SERVICE 507 E 11TH ST <br /> 507 E 11TH ST TRACY CA 95376 20 <br /> TRACY CA 95376 OWNER: EARL BREITSTEIN <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IND091276—Date of Invoice: 1/22/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<S TONS/YF $200.00 <br /> Total for this Invoice $217.50 <br /> Payment Due Date /7/2002 <br /> TOTAL DUE this Billing Period $217.50 <br /> Please make Checks PAYABLE to: ERD / Return a Copy of This STATEMENT with Your PAYN E <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 1 <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 therea <br /> PAYMENT <br /> _RECEfVE0- <br /> r03,2 7 2042 <br /> SAN JOAOUIN COUNTY _ <br /> PUBLIC HF4I TH SFRVICES <br /> .,. n{np��clllfv <br /> 5255.rpt <br />