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SAN JOAOUIN COUNTY PUBLIC -LTH SERVICES <br />D <br />ENVIRONMENTAL HEALTH I N <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON. CA 95202 <br />209-468-3420 <br />INVOICE <br />KEITH SPRING <br />INTERSTATE TRUCK CTR <br />PO BOX 6463 <br />STOCKTON CA 95206 <br />Health <br />Date Program Description <br />Invoice # IND081154 --Date of Invoice : 1130101 <br />1/3012001 2220 SM HW GEN <5 TONS/YR <br />1130/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />5255.rpt <br />M Page 1 <br />AccountlD AR0018023 <br />FA0011023 <br />Facility ID <br />Date Printed 2/1101 <br />RE: INTERSTATE TRUCK CTR - COLLISION <br />641 S HARRISON ST <br />STOCKTON CA 95206 20 <br />OWNER: JOHN PHILLIPS <br />Hrs Employee Amount <br />$100.00 <br />$10.00 <br />Total for this Invoice $110.00 <br />Payment Due Date 3131 1 <br />TOTALDUE this Billing Period 110.00 <br />Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br />For all SERVICE FEES <br />Penalties will be added to all Permit Fees Penalties will be added at the Rate of 10 <br />at the Rate of 100% of the Base Fee 60 Days after the Invoice Date and each 30 thereafter <br />30 Days after the Due Date <br />PAYMENT <br />RECEIVED <br />FEB 1 6 2001 <br />SAN JO'4,..,< .{ <br />PL"d <br />