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SAN JOAOUIN COUNTY PUBLI*,ALTH SERVICES • Pagel <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE AccountiD AR0016644 <br /> LmmmmomonaMnamm <br /> FA0009644 <br /> Facility ID <br /> Date Printed1/31/01 <br /> EARL BREITSTEIN RE : COX BROS TIRE SERVICE <br /> COX BROS TIRE SERVICE 507 E I1TH ST <br /> 507 E 11TH ST TRACY CA 95376 20 <br /> TRACY CA 95376 OWNER: EARL BREITSTEIN <br /> Health <br /> Date Program Descllption Hrs Employee Amount <br /> Invoice# IN0080021 ---Date of invoice: 1130101 <br /> 1/30/2001 2220 SM HVV GEN<5 TONS/YR $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 31 <br /> TOTAL DUE this Billing Period $710.00 <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 /> PAYMENT <br /> RECEIVED <br /> FEB 14 2001 <br /> SAN JOAQUIN COUN'Y <br /> PUBLIC HEALTH 7_RVIJr6 <br /> ENVIRONMENTAL HES.:TH LiSION <br /> 5255.rpt <br />