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E SAI�JOAQUIN COUNTY PUBLIC HE H SERVICES • Page 1 <br /> ENVIRONMENTAL HEALTH DIVIS <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account) 7R0016644 <br /> Facility IDFL <br /> FA0009644 <br /> Date Printed 4/25/00 <br /> LM <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 <br /> TRACY CA 95376 OWNER: EARL BREITSTEIN <br /> Health <br /> Date Program Description Hrs Employee - Amount <br /> Invoice# IN0070277--Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HVJ 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 5/25/2000 <br /> TOTAL DUE this Billing Period 110.00 <br /> Please make Checks PAYABLE to : PHS/EHD f 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%ofthe 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 /> pA m�E r) <br /> FRECEVVEL <br /> MAY162000 <br /> SAN JOAGUIN UQ�..i <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEAurH DIVISION <br /> 5255.rpt <br />