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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report #5255 <br /> ENV-IRONMENTAL HEALTH DIVION StOment, Printed : 05 /20/99 <br /> 304 E WEBER AVENUE — 3RD 0OR <br /> STOCKTON , CA 95202 <br /> Accounting Office : 209 468-3420 <br /> TO : COX BROS TIRE SERVICE <br /> 507 E 11TH ST Account #� 0016644 <br /> TRACY , CA 95376 <br /> ATTN : EARL BREITSTEIN Facility ID 009644 p <br /> RE : COX BROS TIRE SERVICE NNN <br /> 507 E 11TH S7 , <br /> TRACY - <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description _ Hrs Employee Amount <br /> Invoice # 056819 -- Date of Invoice : 05/18/99 <br /> 05 /18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $18 . 50 <br /> Total for this invoice : $18.50 <br /> Payment DUE DATE /20 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> Invoice # 058992 -- Date of Invoice : 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE r $10 . 00 <br /> 05/18/99 2220 SM HW GEN (5 TONS/YR � 7 $100 .00 <br /> Total for ti viice : $110 .00 <br /> Paymen #�Ut 06/20/99 <br /> If this INVOICE has been Paid, Please Disregard this Notice ENVIpC1iit-- TA HEALTH <br /> P MtT i S RViCES <br /> - . `Y�qs .n w:�s t;yr.•avu ..h.t�:�rsnn. , .. ._. <br /> for all SERVICE FEES penalties will <br /> Penalties will be added on all Permits SANw0ACR1I4CtJUNTY be added at the rate of 1#t 60 days <br /> PUEUC HEAC,H SERVICES <br /> at the rate of 110t of the Base Fee 31 ENVIRONMENTALHEALTH DIVISI"et invoice date and each 30 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period: $128.50 <br /> Please make Checks PAYABLE to : PHS/EHD <br />